NPIMap

Individual provider Active NPI

Christopher A Smith, D.O.

  • Diagnostic Radiology Physician
  • Nellis AFB, NV
National Provider Identifier
1699195420
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO2586 Issued in NV
Practice address
4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone
(702) 653-2830
NPI assigned
Apr 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DO2586 NV Primary

Addresses

Primary practice location

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600

Mailing address

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-2830

Other practice location 1

1700 Old Gatesburg Rd Ste 100
State College, PA 16803-2276
Phone (814) 278-3280

Other practice location 2

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000 ext. 6764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CO, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190726002102 NV Practitioner - Diagnostic Radiology 2961707021 Reassigns benefits to 5 organizations
I20230921001313 CO Practitioner - Diagnostic Radiology 2961707021 Reassigns benefits to 4 organizations
I20240620000277 PA Practitioner - Diagnostic Radiology 2961707021 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rocky Vista University College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Monongahela Valley Hospital IncGroup PAC ID 0143117606, 41 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3261

100 Hospital Rd
Brookville, PA 15825-1367
Phone (814) 849-1892

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 997-3470

11765 San Rosarita CT
Las Vegas, NV 89138-6022
Phone (614) 340-7740

1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone (814) 643-8623

16398 Tree Woods CT
Monument, CO 80132-6207
Phone 81423170006764

187 Hospital Dr
Tyrone, PA 16686-1808
Phone (814) 684-1255

239 Colonnade Blvd
State College, PA 16803-2668
Phone (814) 375-3261

401 E Murphy Ave
Connellsville, PA 15425-2724
Phone (724) 628-1500

763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 788-8000

809 Turnpike Ave
Clearfield, PA 16830-1232
Phone (814) 765-5341

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C Current Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Apr 29, 2024 Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Apr 29, 2024 Accepting new patients
Monongahela Valley Hospital Inc Current Accepting new patients
Frank Olney & Rudy Nicolas PTRS Diagnostic Radiology CurrentSince Jun 4, 2025 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Nov 9, 2024 Accepting new patients
Dubois Regional Medical Center Diagnostic Radiology CurrentSince Apr 29, 2024 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince May 25, 2020 Accepting new patients
Dubois Regional Medical Center CurrentSince Apr 29, 2024 Accepting new patients
Highlands Hospital and Health Center CurrentSince Apr 29, 2024 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Oct 2, 2019 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Oct 10, 2022 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Jul 15, 2019 Accepting new patients
Highlands Hospital and Health Center CurrentSince Apr 29, 2024 Accepting new patients

Locations (25 of 30)

901 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-4111

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

2611 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 222-3544

3175 Saint Rose Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 932-2740

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

3025 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 222-3544

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

6675 S Cimarron Rd
Ste 105
Las Vegas, NV 89113

4880 Wynn Rd
Ste 100
Las Vegas, NV 89103
Phone (702) 759-4600

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

7200 Cathedral Rock Dr
Ste 230
Las Vegas, NV 89128
Phone (702) 623-7568

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

3920 S Eastern Ave
Ste 100
Las Vegas, NV 89119
Phone (702) 759-8779

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

888 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 877-5375

31 N Nellis Blvd
Las Vegas, NV 89110

8656 W Patrick Ln
Las Vegas, NV 89148
Phone (702) 509-9904

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 384-5210

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270

360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500

1397 S Loop Rd
Ste 100
Pahrump, NV 89048

2950 Fairway Dr
Altoona, PA 16602
Phone (814) 946-8000

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1397865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1699195420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Old Gatesburg Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032276",
            "country_code": "US",
            "telephone_number": "814-278-3280",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000 x6764",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-19",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "DO2586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nellis AFB, NV

Sources for this page

Verify at the official NPI Registry.