Individual provider Active NPI

Matthew Richard Smolin, MD

  • Interventional Cardiology Physician
  • Durango, CO
National Provider Identifier
1821041245
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
R9691 Issued in TX
Practice address
1 Mercado St Ste 130
Durango, CO 81301-7306
Phone
(970) 247-1120
Fax
(970) 247-1120
NPI assigned
May 18, 2006
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R9691 TX
Interventional Cardiology Physician 207RI0011X DR.0027306 CO
Interventional Cardiology Physician 207RI0011X R9691 TX Primary

Addresses

Primary practice location

1 Mercado St Ste 130
Durango, CO 81301-7306

Mailing address

301 Junction Hwy Ste 220
Kerrville, TX 78028-4203
Phone (830) 896-3730

Other practice location 1

301 Junction Hwy Ste 220
Kerrville, TX 78028-4203
Phone (830) 896-3730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare - Memphis Hospitals Cardiovascular Disease CurrentSince Jan 1, 2010 Accepting new patients
Methodist Healthcare - Memphis Hospitals CurrentSince Jan 1, 2010 Accepting new patients
Sutherland Cardiology Clinic, P.C. Current Accepting new patients
Jackson Madison County General Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients

Locations

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1265 Union Ave
#8E
Memphis, TN 38104
Phone (901) 726-0999

7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792

Interoperability endpoints

  • Direct secure messaging: mattsmolin@sccpc.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1821041245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JUNCTION HWY STE 220",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284203",
            "telephone_number": "830-896-3730",
            "fax_number": "830-792-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 130",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017306",
            "telephone_number": "970-247-1120",
            "fax_number": "970-247-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Junction Hwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "780284203",
            "country_code": "US",
            "telephone_number": "830-896-3730",
            "fax_number": "830-792-4402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOLIN",
        "first_name": "MATTHEW",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "R9691",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "DR.0027306",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "R9691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.