Active NPI
Rafal Marek Smigrodzki, MD
- Neurology Physician
- Clemmons, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 9899
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13378 | Medicaid | ND | |
| 817947600 | Other | MN | MN MA |
| HP49894 | Other | HEALTHPARTNERS | |
| 1043499 | Other | PREFERREDONE | |
| 215G6SM | Other | MN BCBS | |
| 25343 | Other | ND BCBS | |
| 0500502 | Other | MEDICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA, NC, IN, FL, GA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-01922 | NC | MD | Neurology Physician |
| 9899 | ND | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital Inc | Neurology | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | 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
- 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.
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
FL, GA, IN, NC, PA, RI, VA
-
dba Novant Health Forsyth Neurology
- Neurology Physician
- Winston Salem, NC
- NPI 1679531560
-
dba Novant Health Heart & Vascular Institute - Frontis Plaza
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
dba Novant Health Surry Medical Associates
- Family Medicine Physician
- Mount Airy, NC
- NPI 1295783108
-
dba Susquehanna Health Medical Group
- Physical Medicine & Rehabilitation Physician
- Williamsport, PA
- NPI 1629006606
Neurology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.