Individual provider Active NPI

Jerome G Smith, MD

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1720098437
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101035708 Issued in VA
Practice address
4788 Finlay St Ste 1
Richmond, VA 23231-2855
Phone
(804) 718-1711
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101035708 VA Primary

Addresses

Primary practice location

4788 Finlay St Ste 1
Richmond, VA 23231-2855

Mailing address

PO Box 13798
Richmond, VA 23225-8798
Phone (804) 418-3856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070507000334 VA Practitioner - Internal Medicine 6507962685 Practice locations: Richmond, VA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101035708VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jerome G. Smith, MD PC Internal Medicine Current Accepting new patients
Jerome Smith MD PC Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

4788 Finlay St
Ste 1
Richmond, VA 23231
Phone (804) 222-4949

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1720098437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13798",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232258798",
            "telephone_number": "804-418-3856",
            "fax_number": "804-418-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4788 FINLAY ST STE 1",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232312855",
            "telephone_number": "804-718-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEROME",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101035708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.