Active NPI
Jerome G Smith, MD
- Internal Medicine Physician
- Richmond, VA
National Provider Identifier
1720098437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101035708
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101035708 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jerome G. Smith, MD PC | Internal Medicine | Current | Accepting new patients |
| Jerome Smith MD PC | Internal Medicine | Past | 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.
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1972162535
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1679895668
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.