Active NPI
Jordan Smith, DO
- Diagnostic Radiology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2020-00492
- 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.
-
- Family Medicine Physician
- Des Moines, IA
- NPI 1164475760
Diagnostic Radiology, IA
-
- Diagnostic Radiology Physician
- Clive, IA
- NPI 1528026481
Diagnostic Radiology, IA
-
- Diagnostic Radiology Physician
- Clive, IA
- NPI 1336107283
Diagnostic Radiology, IA
-
- Durable Medical Equipment & Medical Supplies
- Des Moines, IA
- NPI 1043380801
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
Hospital
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
Hospital
-
- Critical Access Hospital
- Carroll, IA
- NPI 1720067127
Hospital
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 CIowa Radiology P CDes Moines University Osteopathic Medical Center
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
- Trinity Regional Medical Center
- St Anthony Regional Hospital & Nursing Home
- Buena Vista Regional Medical Center
- Grinnell Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Des Moines University Osteopathic Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Iowa Radiology, P C | Diagnostic Radiology | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Des Moines University Osteopathic Medical Center | Current | Accepting new patients | |
| Iowa Diagnostic Imaging & Procedure Center, L C | Diagnostic Radiology | Current | 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
- jsmith817874@direct.unitypoint.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2020-00492 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2015017247 | MO |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.