Active NPI
Ira U Smith, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Blue Bell, PA
National Provider Identifier
1851376503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- MD022655E
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1089102 | Medicaid | NJ |
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.