Individual provider Active NPI

Miranda Elisabeth Smith, M.D.

  • Dermatology Physician
  • Tulsa, OK
National Provider Identifier
1760529960
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25108 Issued in OK
Practice address
3915 E 51St St
Tulsa, OK 74135-3605
Phone
(918) 749-5714
Fax
(918) 749-5826
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25108 OK Primary

Addresses

Primary practice location

3915 E 51St St
Tulsa, OK 74135-3605

Mailing address

3915 E 51St St
Tulsa, OK 74135-3605
Phone (918) 749-5714

Other names 1

  • Miranda Elisabeth Hoehn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100928000514 OK Practitioner - Dermatology 7911023924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Oklahoma College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3915 E 51St St
Tulsa, OK 74135-3605
Phone (918) 749-5714

Merit-based Incentive Payment System (MIPS)

Final score
94.22 of 100Reported as individual
Quality
91.67
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision139
Removal of skin lesions1275
Removal or shaving of skin growth20
Skin biopsy160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25108OKMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Me Hoen Smith, PC CurrentSince Jul 1, 2010 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3915 E 51st St
Tulsa, OK 74135
Phone (918) 749-5714

Interoperability endpoints

  • Direct secure messaging: miranda.smith@direct.stjohnhealthsystem.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1760529960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353605",
            "telephone_number": "918-749-5714",
            "fax_number": "918-749-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353605",
            "telephone_number": "918-749-5714",
            "fax_number": "918-749-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MIRANDA",
        "middle_name": "ELISABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "25108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "HOEHN",
            "middle_name": "ELISABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.