Individual provider Active NPI

Steven M Smolinski, M.D., PH.D.

  • Obstetrics & Gynecology Physician
  • Adrian, MI
National Provider Identifier
1841322286
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301089146 Issued in MI
Practice address
901 Kimole LN
Suite a-1
Adrian, MI 49221-1491
Phone
(517) 264-0590
Fax
(517) 264-5728
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301089146 MI Primary

Addresses

Primary practice location

901 Kimole LN
Suite a-1
Adrian, MI 49221-1491

Mailing address

901 Kimole LN
Suite a-1
Adrian, MI 49221-1491
Phone (517) 264-0590

Other identifiers 3

IdentifierTypeStateIssuer
3094431MedicaidOH
5185712MedicaidMI
700G410560OtherMIBCBSM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssmolinski14162@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070720000176 MI Practitioner - Obstetrics/Gynecology 7214038298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central Corporation of MichiganGroup PAC ID 7012902265, 112 clinicians

Practice addresses (Care Compare)

200 E Russell Rd
Unit C
Tecumseh, MI 49286-2072
Phone (517) 263-9491

5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491

901 Kimole LN
Adrian, MI 49221-1491

Hospital & facility affiliations

  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301089146MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Corporation of Michigan Obstetrics & Gynecology CurrentSince Oct 18, 2010 Accepting new patients
Emma L. Bixby Medical Center Past Accepting new patients

Locations

901 Kimole Ln
Ste A1
Adrian, MI 49221
Phone (517) 264-0590

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

Interoperability endpoints

  • Direct secure messaging: ssmolinski14162@direct.promedica.org

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1841322286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 KIMOLE LN",
            "address_2": "SUITE A-1",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211491",
            "telephone_number": "517-264-0590",
            "fax_number": "517-264-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 KIMOLE LN",
            "address_2": "SUITE A-1",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211491",
            "telephone_number": "517-264-0590",
            "fax_number": "517-264-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLINSKI",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301089146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3094431",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5185712",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700G410560",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssmolinski14162@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.