Individual provider Active NPI

Rafal Marek Smigrodzki, MD

  • Neurology Physician
  • Clemmons, NC
National Provider Identifier
1841350915
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
9899 Issued in ND
Practice address
7050 Glenhaven Ridge Dr
Clemmons, NC 27012-8981
Phone
(434) 249-4381
Fax
(940) 301-3881
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2014-01922 NC
Neurology Physician 2084N0400X 9899 ND Primary

Addresses

Primary practice location

7050 Glenhaven Ridge Dr
Clemmons, NC 27012-8981

Mailing address

7050 Glenhaven Ridge Dr
Clemmons, NC 27012-8981
Phone (434) 249-4381

Other identifiers 7

IdentifierTypeStateIssuer
13378MedicaidND
817947600OtherMNMN MA
HP49894OtherHEALTHPARTNERS
1043499OtherPREFERREDONE
215G6SMOtherMN BCBS
25343OtherND BCBS
0500502OtherMEDICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA, NC, IN, FL, GA, RI7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20060331000086 VA Practitioner - Neurology 0345295036 Reassigns benefits to 1 organization
I20110510000433 PA Practitioner - Neurology 0345295036 Reassigns benefits to 1 organization
I20150105001097 NC Practitioner - Neurology 0345295036 Reassigns benefits to 3 organizations
I20230718000631 IN Practitioner - Neurology 0345295036 Reassigns benefits to 1 organization
I20241209001645 FL Practitioner - Nephrology 0345295036 Reassigns benefits to 1 organization
I20250113003364 GA Practitioner - Neurology 0345295036 Reassigns benefits to 1 organization
I20250205001663 RI Practitioner - Neurology 0345295036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (972) 449-0540

10461 Quality Dr
Spring Hill, FL 34609-9634
Phone (972) 449-0540

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (972) 449-0540

1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (972) 449-0540

1400 River PL
Braselton, GA 30517-5600
Phone (972) 449-0540

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (972) 449-0540

17240 Cortez Blvd
Brooksville, FL 34601-8921
Phone (972) 449-0540

20 Powell Ave
Newport, RI 02840-2299
Phone (972) 449-0540

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (972) 449-0540

270 Bruton Way
Atlanta, GA 30342-2052
Phone (972) 449-0540

3066 Valleybrook CT
Newburgh, IN 47630-2682
Phone (972) 449-0540

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 277-2000

4088 Beaver Brook Rd
Clemmons, NC 27012-7501
Phone (972) 449-0540

416 E Maumee St
Angola, IN 46703-2015
Phone (972) 449-0540

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (972) 449-0540

5900 College Rd
Key West, FL 33040-4342
Phone (972) 449-0540

65 Harwich Rd
Providence, RI 02906-4919
Phone (972) 449-0540

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (972) 449-0540

8 Osprey Dr
Mountain Top, PA 18707-9630
Phone (972) 449-0540

907 W Norvell Bryant Hwy
Hernando, FL 34442-5288
Phone (972) 449-0540

91 Hospital Dr
Towanda, PA 18848-9702
Phone (972) 449-0540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2014-01922NCMDNeurology Physician
9899NDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital Inc Neurology CurrentSince Nov 18, 2014 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Nov 18, 2014 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients
Susquehanna Physician Services Neurology Past Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006

Interoperability endpoints

  • Direct secure messaging: rsmigrodzki195027@direct.novanthealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1841350915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 GLENHAVEN RIDGE DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128981",
            "telephone_number": "434-249-4381",
            "fax_number": "940-301-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 GLENHAVEN RIDGE DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128981",
            "telephone_number": "434-249-4381",
            "fax_number": "940-301-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIGRODZKI",
        "first_name": "RAFAL",
        "middle_name": "MAREK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2014-01922",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ND",
            "license": "9899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13378",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN MA",
            "identifier": "817947600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP49894",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1043499",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS",
            "identifier": "215G6SM",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND BCBS",
            "identifier": "25343",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0500502",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.