Individual provider Active NPI

Clifford Lawrence Smith, MD

  • Surgery Physician
  • Newport News, VA
National Provider Identifier
1801987169
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101253226 Issued in VA
Practice address
12720 McManus Blvd
Suite 305
Newport News, VA 23602-4414
Phone
(757) 947-3170
Fax
(757) 947-3180
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9422 HI
Surgery Physician 208600000X 0101253226 VA Primary

Addresses

Primary practice location

12720 McManus Blvd
Suite 305
Newport News, VA 23602-4414

Mailing address

12720 McManus Blvd
Suite 305
Newport News, VA 23602-4414
Phone (757) 947-3170

Other identifiers 1

IdentifierTypeStateIssuer
C10716OtherVAGROUP PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CLIFFORD.SMITH@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20140609001425 VA Practitioner - General Surgery 8022232206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Cincinnati College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henrico Surgical Specialists LLCGroup PAC ID 3375680234, 28 clinicians

Practice addresses (Care Compare)

110 N Robinson St
Suite 303
Richmond, VA 23220-4461
Phone (804) 200-1950

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 747-5600

7605 Forest Ave
Suite 212
Richmond, VA 23229-4940
Phone (804) 285-9416

7607 Forest Ave
Suite 220
Richmond, VA 23229-4913
Phone (804) 285-9416

9275 Chamberlayne Rd
Suite 120
Mechanicsville, VA 23116-2800
Phone (804) 285-9416

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)21
Upper gastrointestinal (GI) endoscopy for acid reflux74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9422HIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henrico Surgical Specialists, LLC Surgery CurrentSince Aug 1, 2015 Accepting new patients
Virginia Gynecologic Oncology LLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

9275 Chamberlayne Rd
Ste 120
Mechanicsville, VA 23116
Phone (804) 285-9416

110 N Robinson St
Ste 303
Richmond, VA 23220
Phone (804) 200-1950

8921 Three Chopt Rd
Ste 300
Richmond, VA 23229
Phone (804) 285-9416

Interoperability endpoints

  • Direct secure messaging: clifford.smith@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1801987169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD",
            "address_2": "SUITE 305",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-947-3170",
            "fax_number": "757-947-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD",
            "address_2": "SUITE 305",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-947-3170",
            "fax_number": "757-947-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLIFFORD",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "9422",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101253226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C10716",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CLIFFORD.SMITH@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12720 McManus Blvd",
            "address_2": "SUITE 305",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236024414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.