Individual provider Active NPI

James Donald Smith

  • Sports Medicine (Family Medicine) Physician
  • Saint Paul, MN
National Provider Identifier
1750878948
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
66008 Issued in MN
Practice address
580 Rice St
Saint Paul, MN 55103-2148
Phone
(651) 227-6551
NPI assigned
Apr 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 66008 MN
Sports Medicine (Family Medicine) Physician 207QS0010X 66008 MN Primary

Addresses

Primary practice location

580 Rice St
Saint Paul, MN 55103-2148

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727

Other practice location 1

3930 Northwoods Dr
Arden Hills, MN 55112-6963
Phone (651) 523-8500

Other practice location 2

1020 W Broadway Ave
Minneapolis, MN 55411-2504
Phone (612) 302-8200

Other practice location 3

9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768
Phone (763) 587-7900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.smith@nor.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20190923001469 MN Practitioner - Family Practice 5496005316 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians

Practice addresses (Care Compare)

580 Rice St
Saint Paul, MN 55103-2148
Phone (612) 672-7422

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20946MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics Current Accepting new patients
Fairview Express Care CurrentSince Aug 15, 2023 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Aug 15, 2023 Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince May 22, 2023 Accepting new patients
Fairview Health Services CurrentSince Aug 15, 2023 Accepting new patients
Fairview Express Care General Practice CurrentSince Aug 15, 2023 Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince May 22, 2023 Accepting new patients
Tria Orthopaedic Center LLC CurrentSince Aug 22, 2022 Accepting new patients
Fairview Clinics CurrentSince Aug 15, 2023 Accepting new patients
Fairview Clinics CurrentSince Aug 15, 2023 Accepting new patients
Park Nicollet Clinic Family Medicine Current Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Clinics Past Accepting new patients
Healtheast Woodwinds Hospital Past Accepting new patients

Locations

14101 Fairview Dr
Ste 140
Burnsville, MN 55337

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

580 Rice St
Saint Paul, MN 55103
Phone (651) 227-6551

2270 Ford Pkwy
Ste 200
Saint Paul, MN 55116
Phone (651) 696-5000

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

Interoperability endpoints

  • Direct secure messaging: jsmith497684@fairview.direct-ci.com

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.

View all 16

Hospital & facility affiliations 1

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1750878948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 RICE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032148",
            "telephone_number": "651-227-6551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3930 Northwoods Dr",
            "address_purpose": "LOCATION",
            "city": "Arden Hills",
            "state": "MN",
            "postal_code": "551126963",
            "country_code": "US",
            "telephone_number": "651-523-8500",
            "fax_number": "651-523-8584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554112504",
            "country_code": "US",
            "telephone_number": "612-302-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9825 Hospital Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694768",
            "country_code": "US",
            "telephone_number": "763-587-7900",
            "fax_number": "763-494-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "DONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "66008",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MN",
            "license": "66008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.smith@nor.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9825 Hospital Dr Ste 300",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553694768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.