Individual provider Active NPI

Angela M Smitha, PA-C

  • Physician Assistant
  • Richmond, KY
National Provider Identifier
1790729739
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA050 Issued in KY
Practice address
795 Eastern Byp
Medical Building 2 Suite 5
Richmond, KY 40475-2406
Phone
(859) 624-2229
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA050 KY Primary

Addresses

Primary practice location

795 Eastern Byp
Medical Building 2 Suite 5
Richmond, KY 40475-2406

Mailing address

795 Eastern Byp
Medical Building 2 Suite 5
Richmond, KY 40475-2406
Phone (859) 624-2229

Other identifiers 2

IdentifierTypeStateIssuer
7771729OtherKYAETNA
000000215086OtherKYANTHEM BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asmitha17899@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000455 KY Practitioner - Physician Assistant 0840233243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

793 Eastern Byp
Richmond, KY 40475-2440

795 Eastern Byp
Suite 5
Richmond, KY 40475-2406
Phone (859) 624-2229

96 Future Dr
Corbin, KY 40701-8988
Phone (606) 528-0305

Hospital & facility affiliations

  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA050KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2017 Accepting new patients
Baptist Health Medical Group Inc Physician Assistant CurrentSince Jan 1, 2017 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 8, 2020 Accepting new patients
Gordon & Salter Chartered PastSince Sep 8, 1997 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

793 Eastern Byp
Ste 213
Richmond, KY 40475
Phone (859) 624-6501

793 Eastern Byp
Ste 201
Richmond, KY 40475
Phone (859) 624-6560

795 Eastern Byp
Ste 5
Richmond, KY 40475
Phone (859) 624-2229

Interoperability endpoints

  • Direct secure messaging: asmitha@rwhc-ky.direct.office.nextgen.com

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 1

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1790729739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 EASTERN BYP",
            "address_2": "MEDICAL BUILDING 2 SUITE 5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752406",
            "telephone_number": "859-624-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 EASTERN BYP",
            "address_2": "MEDICAL BUILDING 2 SUITE 5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752406",
            "telephone_number": "859-624-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHA",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7771729",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000215086",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asmitha17899@bhkydirect.com",
            "affiliation": "N",
            "address_1": "795 Eastern Byp",
            "address_2": "Medical Building 2 Suite 5",
            "city": "Richmond",
            "state": "KY",
            "country_code": "US",
            "postal_code": "404752406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.