Active NPI
Keith R Smith, MD
- Emergency Medicine Physician
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35059011
- Practice address
- 500 S Cleveland Ave
Westerville, OH 43081-8971 - Phone
- (614) 898-4000
- NPI assigned
- Jun 5, 2006
- Last updated
- Jun 5, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35059011 | OH | Primary |
Addresses
Primary practice location
500 S Cleveland Ave
Westerville, OH 43081-8971
Mailing address
3205 Montclair Ave
Lewis Center, OH 43035-8970
Phone (740) 549-9930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- George Washington University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 S Cleveland Ave
Westerville, OH 43081-8971
Phone (614) 898-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 71.73
- Improvement activities
- 40
- Cost
- 80.68
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35059011 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Ohio LLC | Emergency Medicine | Current | Accepting new patients |
| Mount Carmel Health System | Current | Accepting new patients | |
| Cep America - Ohio LLC | Emergency Medicine | Current | Accepting new patients |
| Mount Carmel Health | Past | Accepting new patients | |
| Mount Carmel Health | Past | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808
500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000
Interoperability endpoints
- ksmith1158345@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Westerville, OH
- NPI 1477086346
-
dba Mount Carmel Health System Physicians
- Internal Medicine Physician
- Columbus, OH
- NPI 1457617235
-
- Emergency Medicine Physician
- Lewis Center, OH
- NPI 1306351143
-
dba Mt. Carmel Family Practice
- Family Medicine Physician
- Westerville, OH
- NPI 1184646705
-
dba Mount Carmel West Physicians
- Hospitalist Physician
- Columbus, OH
- NPI 1932120268
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westerville, OH
- NPI 1417037045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1730128919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 MONTCLAIR AVE",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430358970",
"telephone_number": "740-549-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S CLEVELAND AVE",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818971",
"telephone_number": "614-898-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KEITH",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35059011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.