Matthew David Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

44652 Issued in KY

Practice address

270 Burley Ave
Hopkinsville, KY 42240-8725

Phone

(270) 887-6767

Fax

(270) 887-6161

NPI assigned

Apr 28, 2009

Last updated

Sep 23, 2020By the provider in NPPES

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 KY

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

Family Practice

Education

University of Louisville School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Generations Primary Care PSCGroup PAC ID 8123158086, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Home Health of Western Kentucky Home health agency, Hopkinsville, KY, CCN 187300
• Centerwell Home Health Home health agency, Hopkinsville, KY, CCN 187124
• Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22167/brand/1/csg/1/fhir/r4
• Direct secure messaging: matthew.smith.1@22167.direct.athenahealth.com
• Direct secure messaging: msmith1012600@direct.deaconess.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Generations Primary Care PSC

  • Internal Medicine Physician
  • Hopkinsville, KY
  • NPI 1831412519
  Medicare reassignment Care Compare group NPD
• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312
  Medicare reassignment Care Compare group
• Jennie Stuart Medical Center Inc

  • Family Nurse Practitioner
  • Hopkinsville, KY
  • NPI 1790086767
  NPD
• Jennie Stuart Medical Center

  dba Jennie Stuart Medical Center Home Health

  • Home Health Agency
  • Hopkinsville, KY
  • NPI 1538222500
  NPD (past)

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

• Centerwell Certified Healthcare Corp.

  dba Centerwell Home Health

  • Home Health Agency
  • Hopkinsville, KY
  • NPI 1518990258
  Care Compare affiliation
• Gamma Acquisition, Inc.

  dba Lifeline Home Health of Western KY

  • Home Health Agency
  • Hopkinsville, KY
  • NPI 1851324297
  Care Compare affiliation
• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312
  Care Compare affiliation

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1790929248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BURLEY AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-887-6767",
            "fax_number": "270-887-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BURLEY AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-887-6767",
            "fax_number": "270-887-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10755 Eagle Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422408742",
            "country_code": "US",
            "telephone_number": "270-887-0270",
            "fax_number": "270-886-3969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "44652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790929248",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Dawn Smith Rojas
• Adrianna Smith
• Caroline C Smith, M.S., CCC
• Hope R Smith
• Kara Elizabeth Smith, MS, ATC, LAT
• Michelle Deann Smith, M.D.
• Yvette Smith
• Pamela Kay Snead, KY CERT. 1ST ASSIST
• SNH Derby Tenant LLC (Morningside of Hopkinsville)
• Adia Sharbreeta Snorton

• Family Medicine Physician in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.