Individual provider Active NPI

Jordan Smith, DO

  • Diagnostic Radiology Physician
  • Kansas City, MO
National Provider Identifier
1669868451
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2020-00492 Issued in NC
Practice address
2301 Holmes St
Kansas City, MO 64108-2640
Phone
(816) 404-4862
Fax
(816) 404-9480
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Diagnostic Imaging and Procedure Center, L C 36 clinicians
Iowa Radiology P C 37 clinicians
Des Moines University Osteopathic Medical Center 36 clinicians

Practice addresses (Care Compare)

12368 Stratford Dr
Suite 300
Clive, IA 50325-8149
Phone (515) 226-9810

3200 Grand Ave
FL 5
Des Moines, IA 50312-4104
Phone (515) 271-1707

Hospital & facility affiliations

  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
  • St Anthony Regional Hospital & Nursing Home Hospital, Carroll, IA, CCN 161382
  • Buena Vista Regional Medical Center Hospital, Storm Lake, IA, CCN 161375
  • Grinnell Regional Medical Center Hospital, Grinnell, IA, CCN 160147

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
78.95

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526002552 IA Practitioner - Diagnostic Radiology 1658672449 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines University Osteopathic Medical Center Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Iowa Radiology, P C Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Des Moines University Osteopathic Medical Center CurrentSince Dec 1, 2023 Accepting new patients
Iowa Diagnostic Imaging & Procedure Center, L C Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Iowa Physicians Clinic Medical Foundation Past Accepting new patients

Locations (25 of 26)

3625 N Ankeny Blvd
Ste H
Ankeny, IA 50023

909 SW Oralabor Rd
Ankeny, IA 50023
Phone (515) 963-4400

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700

3200 Grand Ave
Fl 5
Des Moines, IA 50312
Phone (515) 271-1707

1555 Hull Ave
Des Moines, IA 50316
Phone (515) 262-5639

12368 Stratford Dr
Ste 300
Des Moines, IA 50325
Phone (515) 228-9810

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

1221 Pleasant St
Ste 350
Des Moines, IA 50309

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

625 L St
Fort Dodge, IA 50501
Phone (515) 574-3015

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

Interoperability endpoints

  • Direct secure messaging: jsmith817874@direct.unitypoint.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2020-00492 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X 2015017247 MO

Addresses

NPPES NPI Registry

Primary practice location

2301 Holmes St
Kansas City, MO 64108-2640

Mailing address

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 620-4855

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2020.

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1669868451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-620-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-4862",
            "fax_number": "816-404-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JORDAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2020-00492",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2015017247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.