Individual provider Active NPI

Robert Kraig Smith, M.D.

  • Gynecology Physician
  • Auburn, AL
National Provider Identifier
1851331490
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
12913 Issued in AL
Practice address
2375 Champions Blvd
Auburn, AL 36830-6471
Phone
(334) 745-6447
Fax
(334) 742-0713
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 12913 AL Primary

Addresses

Primary practice location

2375 Champions Blvd
Auburn, AL 36830-6471

Mailing address

2375 Champions Blvd
Auburn, AL 36830-6471
Phone (334) 745-6447

Other identifiers 1

IdentifierTypeStateIssuer
510-19546OtherALBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110106000630 AL Practitioner - Obstetrics/Gynecology 1951590975 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The East Alabama Health Care Authority CurrentSince Jan 3, 2024 Accepting new patients
The East Alabama Health Care Authority CurrentSince Jan 3, 2024 Accepting new patients
Sam del Toro LLC PastSince Dec 10, 2023 Accepting new patients

Locations

2375 Champions Blvd
Ste 2
Auburn, AL 36830
Phone (334) 745-6447

2375 Champions Blvd
Auburn, AL 36830
Phone (334) 745-6447

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

121 N 20th St
Ste 2
Opelika, AL 36801
Phone (334) 528-2404

Networks

  • bcbs alabama network 01A0
  • bcbs alabama network 01C0
  • bcbs alabama network 01B0
  • bcbs alabama network 01E0
  • bcbs alabama network 01H0
  • bcbs alabama network 01G0

Interoperability endpoints

  • Direct secure messaging: robert.smith.1@19249.direct.athenahealth.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1851331490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 CHAMPIONS BLVD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306471",
            "telephone_number": "334-745-6447",
            "fax_number": "334-742-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 CHAMPIONS BLVD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306471",
            "telephone_number": "334-745-6447",
            "fax_number": "334-742-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "KRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "12913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "510-19546",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.