Active NPI
Iris B. Smyth, C.N.P.
- Internal Medicine Physician
- Newton Lower Falls, MA
National Provider Identifier
1679620025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 88362
- Practice address
- 2000 Washington St
Suite 546
Newton Lower Falls, MA 02462-1650 - Phone
- (617) 964-5020
- Fax
- (617) 964-3033
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 88362 | MA | Primary |
Addresses
Primary practice location
2000 Washington St
Suite 546
Newton Lower Falls, MA 02462-1650
Mailing address
2000 Washington St
Suite 546
Newton Lower Falls, MA 02462-1650
Phone (617) 964-5020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0324418 | Medicaid | MA | |
| 8301971 | Other | MA | EVERCARE |
| NP3093 | Other | MA | BLUE SHIELD |
| P00210567 | Other | MA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Past | Accepting new patients |
Organizations & group practices 1
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
- Newton, MA
- NPI 1538191218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679620025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 WASHINGTON ST",
"address_2": "SUITE 546",
"city": "NEWTON LOWER FALLS",
"state": "MA",
"postal_code": "024621650",
"telephone_number": "617-964-5020",
"fax_number": "617-964-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WASHINGTON ST",
"address_2": "SUITE 546",
"city": "NEWTON LOWER FALLS",
"state": "MA",
"postal_code": "024621650",
"telephone_number": "617-964-5020",
"fax_number": "617-964-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMYTH",
"first_name": "IRIS",
"middle_name": "B.",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "88362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0324418",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "8301971",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "NP3093",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00210567",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton Lower Falls, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.