NPIMap

Individual provider Active NPI

Cameron Lee Smith, D.O.

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1871731133
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2010031553 Issued in MO
Practice address
4320 Wornall Road
Suite 65
Kansas City, MO 64111
Phone
(816) 932-6100
Fax
(816) 932-9002
NPI assigned
Jan 25, 2009
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036172557 IL
Internal Medicine Physician 207R00000X 2010031553 MO Primary
Internal Medicine Physician 207R00000X 05-42006 KS

Addresses

Primary practice location

4320 Wornall Road
Suite 65
Kansas City, MO 64111

Mailing address

901 E. 104TH St.
Mailstop 400N
Kansas City, MO 64131-9712
Phone (816) 502-7104

Other identifiers 1

IdentifierTypeStateIssuer
W19000148OtherMOMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, IL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120620000366 MO Practitioner - Internal Medicine 3072777275 Reassigns benefits to 3 organizations
I20230711001954 KS Practitioner - Internal Medicine 3072777275 Reassigns benefits to 2 organizations
I20241118001864 IL Practitioner - Internal Medicine 3072777275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians
CH Specialty Services KS LLCGroup PAC ID 6800261819, 65 clinicians

Practice addresses (Care Compare)

400 NW Murray Rd
Suite 237
Lees Summit, MO 64081-1426
Phone (816) 525-0986

9100 Park St
Lenexa, KS 66215-3353
Phone (816) 822-0050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010031553MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC Internal Medicine CurrentSince Jul 12, 2023 Accepting new patients
Swope Health Services CurrentSince Jun 13, 2022 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Jul 5, 2023 Accepting new patients
Swope Health Services CurrentSince Jun 13, 2022 Accepting new patients
Swope Health Services Current Accepting new patients
CH Specialty Services KS LLC Internal Medicine CurrentSince Jul 12, 2023 Accepting new patients
Curana Health of Illinois PC Internal Medicine CurrentSince Oct 31, 2024 Accepting new patients
Recover-Care Shawnee LLC Past Accepting new patients
Stratford Commons Rehabilitation & Health Care Center, L.L.C Past Accepting new patients
BKD HCR Master Lease 3 Tenant LLC Past Accepting new patients
The Village at Mission LLC Past Accepting new patients

Locations

111 W Jackson Blvd
Ste 1700
Chicago, IL 60604
Phone (708) 223-8405

1111 University Dr
Edwardsville, IL 62025
Phone (618) 307-5945

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808

9100 Park St
Lenexa, KS 66215
Phone (913) 888-1900

9100 Park St
Ste 280
Lenexa, KS 66215

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

400 NW Murray Rd
Ste 237
Lees Summit, MO 64081
Phone (816) 525-0986

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

2920 Fee Fee Rd
Maryland Hts, MO 63043
Phone (314) 291-0121

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shawnee Gardens Healthcare and Rehabilitation CenterShawnee, KS, CCN 175267 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 28, 2025
Mar 18, 2025
Residential HospiceLeawood, KS, CCN 171627 Hospice Contracted Managing Employee Aug 1, 2023
Residential HospiceKansas City, MO, CCN 261702 Hospice Contracted Managing Employee Aug 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1871731133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E. 104TH ST.",
            "address_2": "MAILSTOP 400N",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641319712",
            "telephone_number": "816-502-7104",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL ROAD",
            "address_2": "SUITE 65",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64111",
            "telephone_number": "816-932-6100",
            "fax_number": "816-932-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAMERON",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-25",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036172557",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2010031553",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-42006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W19000148",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.