Jared B Smith, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2007007789 Issued in MO

Practice address

19550 E 39TH St S
Ste 325
Independence, MO 64057-2303

Phone

(816) 373-4646

Fax

(816) 373-7831

NPI assigned

Jan 26, 2007

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

General Surgery

Education

Saint Louis University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Independence Surgical Clinic, Inc.Group PAC ID 3476587486, 2 clinicians

Urgent Specialty Associates of Missouri LLCGroup PAC ID 2860874831, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Independence Surgical Clinic, Inc.

  • Surgery Physician
  • Independence, MO
  • NPI 1144348012
  Medicare reassignment Care Compare group
• Urgent Specialty Associates of Missouri LLC

  • Surgical Critical Care Physician
  • Kansas City, MO
  • NPI 1992436422
  Medicare reassignment Care Compare group
• Centerpoint Medical Center of Independence, LLC

  dba Centerpoint Medical Center

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  NPD (past)

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

• Centerpoint Medical Center of Independence, LLC

  dba Centerpoint Medical Center

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1710033493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "STE 325",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572303",
            "telephone_number": "816-373-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "STE 325",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572303",
            "telephone_number": "816-373-4646",
            "fax_number": "816-373-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JARED",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2007007789",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL-308",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "250766",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207308305",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00453853",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaredsmith@isc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "19550 E 39th St S",
            "address_2": "Ste 325",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640572303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelby Smiley, FNP-C
• Caitlin R Smith, MS, LPC
• Daniel Smith, PT
• Destiny Smith
• Jackie Smith, RN
• John Paul Smith, DDS
• Katie Smith, PLPC
• Katrena M Smith, PLPC
• Katrina Smith, M.S. CCC SLP
• Kevin B Smith

• Surgery Physician in Independence, MO
• Providers in Independence, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.

Verify at the official NPI Registry.