Individual provider Active NPI

Steven D Smith, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1841289972
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01068922A Issued in IN
Practice address
155 W Washington St Ste 155
Indianapolis, IN 46204-3496
Phone
(317) 559-2185
NPI assigned
Oct 20, 2005
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01068922A IN Primary
Family Medicine Physician 207Q00000X 35052435 OH

Addresses

Primary practice location

155 W Washington St Ste 155
Indianapolis, IN 46204-3496

Mailing address

9986 N Wind River Run
McCordsville, IN 46055-9453
Phone (740) 501-0196

Other practice location 1

9986 N Wind River Run
McCordsville, IN 46055-9453
Phone (740) 501-0196

Other identifiers 1

IdentifierTypeStateIssuer
0762778MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110712000735 IN Practitioner - Family Practice 1052219680

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35052435OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Union Hospital Association Past Accepting new patients
Major Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
THLH, Inc. Past Accepting new patients
Longfellow, Inc. Past Accepting new patients
Physical Therapy Services of Mt Past Accepting new patients
Integrated Health Center LLC PastSince Oct 26, 2015 Accepting new patients

Organizations & group practices 7

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1841289972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9986 N WIND RIVER RUN",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460559453",
            "telephone_number": "740-501-0196",
            "fax_number": "351-222-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W WASHINGTON ST STE 155",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043496",
            "telephone_number": "317-559-2185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9986 N Wind River Run",
            "address_purpose": "LOCATION",
            "city": "McCordsville",
            "state": "IN",
            "postal_code": "460559453",
            "country_code": "US",
            "telephone_number": "740-501-0196",
            "fax_number": "351-222-8012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01068922A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35052435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0762778",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.