Kelley Wade Smith, M. D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

24624 Issued in AL

Practice address

4601 Whitesburg Dr S
Suite 201
Huntsville, AL 35802-1676

Phone

(256) 880-1050

Fax

(256) 880-7477

NPI assigned

May 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Cardiovascular Disease (Cardiology)

Education

Meharry Medical College School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Huntsville Cardiovascular Clinic, P. C.Group PAC ID 3476546003, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131
• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
• Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061

Merit-based Incentive Payment System (MIPS)

Final score

78.58 of 100Reported as group

Quality

64.47

Improvement activities

40

Cost

75.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: kelley.smith@huntscard.direct.medconnect-inc.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.

• Huntsville Cardiovascular Clinic, P. C.

  • Interventional Cardiology Physician
  • Huntsville, AL
  • NPI 1609937945
  Medicare reassignment Care Compare group
• Huntsville Cardiovascular Clinic, P.C.

  • Nurse Practitioner
  • Huntsville, AL
  • NPI 1114355120
  NPD (past)

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

• Crestwood Healthcare LP

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1023061496
  Care Compare affiliation
• HH Health System - Jackson LLC

  • General Acute Care Hospital
  • Scottsboro, AL
  • NPI 1699444976
  Care Compare affiliation
• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1770535080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 DUG HILL RD",
            "city": "BROWNSBORO",
            "state": "AL",
            "postal_code": "357419212",
            "telephone_number": "256-534-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR S",
            "address_2": "SUITE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021676",
            "telephone_number": "256-880-1050",
            "fax_number": "256-880-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLEY",
        "middle_name": "WADE",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "24624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051551866",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Andrew Smith, M.D./PH.D.
• Julie E Smith, PA-C
• Karin Smith, PHARMD
• Karter Michael Smith, DMD
• Kathryn Smith
• Kelly Smith, OTR/L
• Lenora Smith, CRNP
• Mary Elizabeth Smith, DMD
• McKenzie Nicole Smith
• Melissa Anne Galkowski Smith, PT

• Interventional Cardiology Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Interventional Cardiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.