Peter Trent Smith, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301053454 Issued in MI

Practice address

3410 E 12 Mile Rd Ste B
Warren, MI 48092-2593

Phone

(586) 588-5020

Fax

(586) 920-2503

NPI assigned

Nov 29, 2006

Last updated

Aug 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Psychiatry

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

57.96 of 100Reported as group

Quality

21.71

Promoting interoperability

12

Improvement activities

40

Cost

78.16

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Peter Trent Smith MD PC

  • Psychiatry Physician
  • Warren, MI
  • NPI 1548275241
  Medicare reassignment NPD Authorized official
• Behavioral Care Solutions for Adults and Seniors, Inc.

  • Psychiatry Physician
  • Novi, MI
  • NPI 1154727147
  Medicare reassignment NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1750458386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 E 12 MILE RD STE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922593",
            "telephone_number": "586-588-5020",
            "fax_number": "586-920-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 E 12 MILE RD STE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922593",
            "telephone_number": "586-588-5020",
            "fax_number": "586-920-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PETER",
        "middle_name": "TRENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301053454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3044214",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy Marie Smith, M.D.
• Lakesha Smith
• Marcus Smith
• Orma Christina Smith, L.P.C
• Pamela A. Smith, RPH
• Raymond Lee Smith
• Ryan Michael Smith, D.O.
• Thomas Gregory Smith, D.C.
• Tiffany Gail Smith
• Debra Ann Sneed, MT(AMT)

• Psychiatry Physician in Warren, MI
• Providers in Warren, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.

Verify at the official NPI Registry.