Individual provider Active NPI

Douglas J Smith Behn, MD

  • Surgery Physician
  • Youngstown, OH
National Provider Identifier
1679554273
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-05-7078 Issued in OH
Practice address
4308 Belmont Ave
Youngstown, OH 44505-1052
Phone
(330) 759-7733
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35-05-7078 OH Primary

Addresses

Primary practice location

4308 Belmont Ave
Youngstown, OH 44505-1052

Mailing address

4308 Belmont Ave
Youngstown, OH 44505-1052
Phone (330) 759-7733

Other identifiers 1

IdentifierTypeStateIssuer
730052MedicaidOH

Other names 1

  • Douglas James Smithbehn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20081028000009 OH Practitioner - General Surgery 0547328080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

4308 Belmont Ave
Suite 3
Youngstown, OH 44505-1071
Phone (330) 759-7733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy28
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC CurrentSince Feb 1, 2019 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

4308 Belmont Ave
Ste 3
Youngstown, OH 44505
Phone (330) 759-7733

250 Debartolo Pl
Ste 3000
Youngstown, OH 44512
Phone (234) 287-6709

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

4308 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-7038

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

Organizations & group practices 2

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 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1679554273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051052",
            "telephone_number": "330-759-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051052",
            "telephone_number": "330-759-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH BEHN",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-05-7078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730052",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "SMITHBEHN",
            "middle_name": "JAMES",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.