Individual provider Active NPI

Wade Michael Smith, M.D.

  • Hematology & Oncology Physician
  • Newport Beach, CA
National Provider Identifier
1730240219
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A93190 Issued in CA
Practice address
1601 Avocado Ave
Newport Beach, CA 92660-7798
Phone
(949) 763-2204
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A93190 CA Primary

Addresses

Primary practice location

1601 Avocado Ave
Newport Beach, CA 92660-7798

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Other identifiers 1

IdentifierTypeStateIssuer
A93190OtherCASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070314000615 CA Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/OncologyPractitioner - Hematology 5395848121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Creighton University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

1000 Fivepoint
Irvine, CA 92618-2377
Phone (949) 671-4673

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

1500 E Duarte Rd
Duarte, CA 91010-3012

1601 Avocado Ave
Newport Beach, CA 92660-7798
Phone (949) 763-2204

209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DCHS Medical Foundation CurrentSince Jan 1, 2018 Accepting new patients
Verity Medical Foundation CurrentSince Jan 1, 2018 Accepting new patients
City of Hope Medical Foundation Hematology & Oncology CurrentSince Aug 9, 2019 Accepting new patients
University of Kansas Hospital Authority Past Accepting new patients
St. Joseph'S Hospital, Inc. Past Accepting new patients
Davood Vafai MD Incorporated Hematology & Oncology Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Austin J Ma, M.D., a Professional Corporation Hematology & Oncology Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Link Institute for Women'S Health Past Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

18111 Brookhurst St
Ste 1100
Fountain Valley, CA 92708
Phone (714) 861-4770

3628 E Imperial Hwy
Ste 408
Lynwood, CA 90262
Phone (310) 554-4127

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

230 S Main St
Ste 100
Orange, CA 92868
Phone (714) 541-0101

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: direct@cityofhope.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1730240219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 AVOCADO AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607798",
            "telephone_number": "949-763-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WADE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A93190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A93190",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.