Active NPI
Faye M. Smith-Chakmakova, MD
- Anatomic Pathology & Clinical Pathology Physician
- South Lake Tahoe, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- C165898
- Practice address
- 2170 South Ave
South Lake Tahoe, CA 96150-7026 - Phone
- (530) 541-3420
- NPI assigned
- Feb 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C165898 | CA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD447815 | PA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R71376 | AZ |
Addresses
Primary practice location
2170 South Ave
South Lake Tahoe, CA 96150-7026
Mailing address
4TH and Walnut
Lebanon, PA 17042-1281
Phone (717) 720-7551
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R71376 | Other | AZ | TRAINING PERMIT |
| P01392613 | Other | PA | RAILROAD MEDICARE |
| 102944900 | Medicaid | PA |
Other names 1
- Faye Marie Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5807
Hospital & facility affiliations
- Barton Memorial Hospital
- Carson Valley Health
- Carson Tahoe Regional Medical Center
- Renown Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R71376 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
| C165898 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD447815 | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahoe Carson Valley Medical Group Inc | Current | Accepting new patients | |
| Barton Healthcare System | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Barton Healthcare System | Current | Accepting new patients | |
| Barton Medical Foundation | Current | Accepting new patients |
Locations
1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660
2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420
2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554
Organizations & group practices 4
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.
-
- Family Medicine Physician
- South Lake Tahoe, CA
- NPI 1750950499
-
- Internal Medicine Physician
- South Lake Tahoe, CA
- NPI 1235196015
Anatomic Pathology & Clinical Pathology
-
- Family Medicine Physician
- South Lake Tahoe, CA
- NPI 1508865528
-
- Diagnostic Radiology Physician
- Stateline, NV
- NPI 1467046102
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Lake Tahoe, CA
- NPI 1003867565
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
Hospital
-
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1831411933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4TH AND WALNUT",
"city": "LEBANON",
"state": "PA",
"postal_code": "170421281",
"telephone_number": "717-720-7551",
"fax_number": "717-272-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 SOUTH AVE",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507026",
"telephone_number": "530-541-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-CHAKMAKOVA",
"first_name": "FAYE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-17",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "C165898",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD447815",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "R71376",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAINING PERMIT",
"identifier": "R71376",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01392613",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102944900",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FAYE",
"last_name": "SMITH",
"middle_name": "MARIE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.