NPIMap

Individual provider Active NPI

Khannah Marlitt-Marie Smith, MD

  • Family Medicine Physician
  • Trenton, MO
National Provider Identifier
1750726634
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019005173 Issued in MO
Practice address
189 Iowa Blvd
Trenton, MO 64683-8343
Phone
(660) 358-5750
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2019005173 MO
Family Medicine Physician 207Q00000X 2019005173 MO Primary

Addresses

Primary practice location

189 Iowa Blvd
Trenton, MO 64683-8343

Mailing address

189 Iowa Blvd
Trenton, MO 64683-8343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829003584 MO Practitioner - Internal Medicine 6608178348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Luke'S Hospital of TrentonGroup PAC ID 3971495532, 14 clinicians

Practice addresses (Care Compare)

189 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750

191 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
88.35
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as group
Quality
83.61
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Hospital of Trenton CurrentSince Sep 15, 2025 Accepting new patients
Saint Luke'S Hospital of Trenton Family Medicine CurrentSince Sep 30, 2019 Accepting new patients
Saint Luke'S Hospital of Trenton Past Accepting new patients

Locations

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

189 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5750

Interoperability endpoints

  • Direct secure messaging: ksmith370281@direct.saint-lukes.org
  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 3

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 9

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1750726634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 IOWA BLVD",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646838343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 IOWA BLVD",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646838343",
            "telephone_number": "660-358-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KHANNAH",
        "middle_name": "MARLITT-MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2019005173",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019005173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MO

Sources for this page

Verify at the official NPI Registry.