Active NPI
Sinjin Kyle Smith
- Certified Registered Nurse Anesthetist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28453
- Practice address
- 5 Richland Medical Park Dr
Columbia, SC 29203-6863 - Phone
- (803) 434-7000
- NPI assigned
- Jun 8, 2021
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 59464 | ID | |
| Certified Registered Nurse Anesthetist | 367500000X | 28453 | SC | Primary |
Addresses
Primary practice location
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Mailing address
1220 Meredith Dr Unit 1402
Columbia, SC 29212-0990
Phone (307) 752-4785
Other practice location 1
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-7000
Other practice location 2
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of South Carolina School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Blarney Dr
Columbia, SC 29223-6244
Phone (803) 865-8200
Hospital & facility affiliations
- Newberry County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.64 of 100
- Quality
- 69.74
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 69.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59464 | ID | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthony Regional Hospital and Nursing Home | Current | Accepting new patients | |
| Beach Anesthesia, LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients |
Locations
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
5 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-2168
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Family Medicine Physician
- Carroll, IA
- NPI 1801815972
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Anesthesiology Physician
- Greenville, SC
- NPI 1528465374
-
- Registered Nurse
- Carroll, IA
- NPI 1710062088
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newberry, SC
- NPI 1316030083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1841867744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 MEREDITH DR UNIT 1402",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292120990",
"telephone_number": "307-752-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 RICHLAND MEDICAL PARK DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036863",
"telephone_number": "803-434-7000"
}
],
"practiceLocations": [
{
"address_1": "5 Richland Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036863",
"country_code": "US",
"telephone_number": "803-434-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Independence Pt Ste 300",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154569",
"country_code": "US",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "SINJIN",
"middle_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-08",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "ID",
"license": "59464",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "28453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.