Individual provider Active NPI

Ira U Smith, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Blue Bell, PA
National Provider Identifier
1851376503
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
MD022655E Issued in PA
Practice address
1787 Sentry Pkwy W Ste 405
Blue Bell, PA 19422-2239
Phone
(877) 868-4827
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD022655E PA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MD022655E PA Primary

Addresses

Primary practice location

1787 Sentry Pkwy W Ste 405
Blue Bell, PA 19422-2239

Mailing address

1787 Sentry Pkwy W Ste 405
Blue Bell, PA 19422-2239
Phone (877) 868-4827

Other practice location 1

5 Eves Drive
Suite 300
Marlton, NJ 08053
Phone (856) 596-1600

Other identifiers 1

IdentifierTypeStateIssuer
1089102MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1851376503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 SENTRY PKWY W STE 405",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222239",
            "telephone_number": "877-868-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 SENTRY PKWY W STE 405",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222239",
            "telephone_number": "877-868-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Eves Drive",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "856-596-1600",
            "fax_number": "856-552-3268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "IRA",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD022655E",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "MD022655E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1089102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.