NPIMap

Individual provider Active NPI

Todd Andrew Smith, DO

  • Internal Medicine Physician
  • Princeton, WV
National Provider Identifier
1780649889
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1804 Issued in WV
Practice address
407 12TH Street Ext
Princeton, WV 24740-2300
Phone
(304) 487-0232
Fax
(304) 487-0285
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1804 WV Primary

Addresses

Primary practice location

407 12TH Street Ext
Princeton, WV 24740-2300

Mailing address

PO Box 5065
Princeton, WV 24740-5065
Phone (304) 487-0232

Other identifiers 1

IdentifierTypeStateIssuer
1805166000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000876 WV Practitioner - Internal Medicine 8527009703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

407 12TH St Ext
Princeton, WV 24740-2300
Phone (304) 487-0232

Hospital & facility affiliations

  • PCH Home Health Home health agency, Princeton, WV, CCN 517081
  • Centerwell Home Health Home health agency, Beckley, WV, CCN 517125
  • Amedisys Home Health of West Virginia Home health agency, Beckley, WV, CCN 517054
  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046
  • Logan Regional Medical Center Hospital, Logan, WV, CCN 510048

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1804WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Internal Medicine Inc. Current Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Apr 1, 2023 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Apr 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Princeton Community Hospital Assn., Inc. Past Accepting new patients

Locations

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

407 12th Street Ext
Princeton, WV 24740
Phone (304) 487-0232

Interoperability endpoints

  • Direct secure messaging: toddsmith@blueridgei.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1780649889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5065",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247405065",
            "telephone_number": "304-487-0232",
            "fax_number": "304-487-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402300",
            "telephone_number": "304-487-0232",
            "fax_number": "304-487-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TODD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "1804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1805166000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.