Active NPI
Vernon D Smith, M.D.
- Emergency Medicine Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 45510
- Practice address
- 13400 E Shea Blvd
Scottsdale, AZ 85259-5452 - Phone
- (480) 301-8000
- NPI assigned
- Dec 30, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 45863 | MN | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 45510 | AZ | |
| Emergency Medicine Physician | 207P00000X | 45510 | AZ | Primary |
Addresses
Primary practice location
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Mailing address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Other practice location 1
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 2
2134 Bunker Lake Blvd NW
Andover, MN 55304-3910
Phone (763) 754-4396
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vsmith395661@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, AZ, SD, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wake Forest University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2512
Hospital & facility affiliations
- Mayo Clinic Hospital Rochester
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45510 | AZ | MD | Emergency Medicine Physician |
| 45863 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Quentin N Burdick Comprehensive Health Care Facility | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients |
Locations
5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800
5777 E Mayo Blvd
Fl 4
Phoenix, AZ 85054
13400 E Shea Blvd
Scottsdale, AZ 85259
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1300 Hospital Loop
Belcourt, ND 58316
4100 W 150th St
#3
Cleveland, OH 44135
909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431
300 W 5th St
Miller, SD 57362
Phone (605) 853-0158
1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000
4500 N Lewis Ave
Sioux Falls, SD 57104
Phone (605) 322-2980
Interoperability endpoints
- vernon.smith.1@27404.direct.athenahealth.com
- vsmith395661@ehrdirect.mayoclinicmsg.org
Organizations & group practices 16
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.
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
- Rural Acute Care Hospital
- Belcourt, ND
- NPI 1952346934
TX
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1699520049
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Multi-Specialty Clinic/Center
- Sioux Falls, SD
- NPI 1467786640
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, MN
- NPI 1841266194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1730166737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595452",
"telephone_number": "480-301-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595452",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"country_code": "US",
"telephone_number": "507-284-2511",
"fax_number": "507-284-0702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2134 Bunker Lake Blvd NW",
"address_purpose": "LOCATION",
"city": "Andover",
"state": "MN",
"postal_code": "553043910",
"country_code": "US",
"telephone_number": "763-754-4396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "VERNON",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "45863",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "AZ",
"license": "45510",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "45510",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vsmith395661@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "13400 E Shea Blvd",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852595452",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.