Michael L. Smith, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17033 Issued in AZ

Practice address

1684 E Boston St Ste 101
Gilbert, AZ 85295-6220

Phone

(480) 899-4420

Fax

(480) 219-3214

NPI assigned

Oct 22, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Internal Medicine

Education

University of Wisconsin School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Phoenician Medical Center IncGroup PAC ID 0547169708, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Health at Home Home health agency, Chandler, AZ, CCN 037281
• Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Phoenician Medical Center, Inc

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1891895637
  Medicare reassignment Care Compare group NPD

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

• Dignity Health

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088
  Care Compare affiliation
• Dignity Health at Home, LLC

  • Home Health Agency
  • Chandler, AZ
  • NPI 1831678218
  Care Compare affiliation

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1760782973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 E BOSTON ST STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956220",
            "telephone_number": "480-899-4420",
            "fax_number": "480-219-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 E BOSTON ST STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956220",
            "telephone_number": "480-899-4420",
            "fax_number": "480-219-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "17033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Smith, SLPA
• Kimberly Lynne Smith, RN BSN IBCLC
• Kristine Ann Smith, OT
• Madison Smith
• Maricela Michelle Smith, PSY.D.
• Millian Smith
• Nicholas Smith, APRN
• Sabrina Smith
• Sam P Smith, D.O.
• Skyler Jay Smith, DMD

• Internal Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.