Damon Earl Smith, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

G72842 Issued in CA

Practice address

10463 Park Meadows Dr Ste 114
Lone Tree, CO 80124-5317

Phone

(303) 733-8848

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA, TX, AZ, NV4 enrollments

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 4

Specialty

Radiation Oncology

Education

Hahnemann University College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Medical Group Rhodes P CGroup PAC ID 1052390036, 53 clinicians

Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dsmith31564@scrippshlth.medalliesdirect.net
• Direct secure messaging: dsmith690404@direct.baptist-healthar.org
• Direct secure messaging: damonsmith@ghp.allscriptsdirect.net
• FHIR API: https://api.platform.athenahealth.com/3893/brand/1/csg/1/fhir/r4
• Direct secure messaging: dsmith229952@westdirect.optum.com

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.

• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Medicare reassignment Care Compare group NPD
• Optum Medical Group Rhodes P C

  • Specialist
  • Las Vegas, NV
  • NPI 1063458594
  Medicare reassignment Care Compare group NPD
• Hendrick Provider Network

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1396961322
  Medicare reassignment NPD
• Usc Care Medical Group, Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1902846306
  Medicare reassignment NPD
• Hendrick Provider Network

  • Rural Health Clinic/Center
  • San Saba, TX
  • NPI 1346044401
  NPD
• Kingman Healthcare, Inc

  • Specialist
  • Kingman, AZ
  • NPI 1689897787
  NPD
• Kingman Healthcare, Inc

  • Community/Retail Pharmacy
  • Kingman, AZ
  • NPI 1992286298
  NPD
• Optum Medical Group Rhodes P C

  • Radiation Oncology Physician
  • Las Vegas, NV
  • NPI 1225609464
  NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Usc Care Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Pasadena, CA
  • NPI 1427937390
  NPD
• Cassidy Medical Group - OB-GYN

  • Obstetrics & Gynecology Physician
  • Vista, CA
  • NPI 1881761047
  NPD (past)
• Family Medicine of Abilene PA

  • Family Medicine Physician
  • Abilene, TX
  • NPI 1417202565
  NPD (past)

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

• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1760480123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10463 PARK MEADOWS DR STE 114",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245317",
            "telephone_number": "303-733-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10463 PARK MEADOWS DR STE 114",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245317",
            "telephone_number": "303-733-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3366 5th Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921035713",
            "country_code": "US",
            "telephone_number": "619-230-0400",
            "fax_number": "858-429-7936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Eastlake Ave Ste G355",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900895713",
            "country_code": "US",
            "telephone_number": "323-865-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAMON",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G72842",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G72842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G728420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DR.0066431",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G72842",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly L Smeester, RD, PA-C
• Debi Smith-Racanelli
• Allison Smith, DPT
• Angela Smith, RN
• Brett David Smith, PT, DPT
• Leah Michele Smith
• S. Scott Smith, M.D.
• Taurean Travas Smith, DMD
• Randall Snook, M.D.
• Andrew C Snow, PT

• Radiation Oncology Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Radiation Oncology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.