Active NPI
Edward D. Smith, M.D.
- Family Medicine Physician
- Lapwai, ID
National Provider Identifier
1760577308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60056542
- Practice address
- 111 Bever Grade Road
Lapwai, ID 83540-0367 - Phone
- (208) 843-2271
- Fax
- (208) 621-4995
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60056542 | WA | Primary |
Addresses
Primary practice location
111 Bever Grade Road
Lapwai, ID 83540-0367
Mailing address
PO Drawer 367
Lapwai, ID 83540-0367
Phone (208) 843-2271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200228000188 | TX | Practitioner - Family Practice | 1456359173 | Reassigns benefits to 1 organization |
| I20230209000544 | ID | Practitioner - Family Practice | 1456359173 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wake Forest University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nez Perce Tribal Health Authority
Practice addresses (Care Compare)
111 Bever Grade Rd
Nimiipuu Health
Lapwai, ID 83540-0367
Phone (208) 621-4946
Hospital & facility affiliations
- Elite Home Health
- St Joseph Regional Medical Center
- Tri-State Memorial Hospital
- Grove City Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 13 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pullman Family Medicine | Current | Accepting new patients | |
| Gritman Medical Center Inc | Current | Accepting new patients | |
| Gritman Medical Center Inc. | Current | Accepting new patients | |
| Nez Perce Tribal Health Authority | Current | Accepting new patients |
Locations
313 3Rd St
Nimiipuu Health
Kamiah, ID 83536
Phone (208) 621-4946
313 3Rd St
Nimiipuu Health
Kamiah, ID 83536
Phone (208) 935-0733
623 S Main St
Ste 1
Moscow, ID 83843
Phone (208) 882-2011
700 S Main St
Moscow, ID 83843
Phone (208) 746-7555
915 NE Valley Rd
Pullman, WA 99163
Phone (509) 332-3548
Interoperability endpoints
- edwards@nimiipuuhealth.directbygreenway.com
Organizations & group practices 4
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.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Lapwai, ID
- NPI 1790795888
TX
-
- Clinic/Center
- Moscow, ID
- NPI 1790182590
-
- Primary Care Clinic/Center
- Pullman, WA
- NPI 1174668412
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lewiston, ID
- NPI 1134899719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1760577308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO DRAWER 367",
"city": "LAPWAI",
"state": "ID",
"postal_code": "835400367",
"telephone_number": "208-843-2271",
"fax_number": "208-621-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BEVER GRADE ROAD",
"city": "LAPWAI",
"state": "ID",
"postal_code": "835400367",
"telephone_number": "208-843-2271",
"fax_number": "208-621-4995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "EDWARD",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60056542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lapwai, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.