Individual provider Active NPI

Clayton Allen Smith Jr., M.D.

  • Adult Congenital Heart Disease Physician
  • Cincinnati, OH
National Provider Identifier
1891088613
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Congenital Heart Disease PhysicianTaxonomy code 207RA0002X
License
35.149129 Issued in OH
Practice address
3333 Burnet Ave # Mlc2003
Cincinnati, OH 45229-3026
Phone
(513) 803-2243
Fax
(513) 803-0079
NPI assigned
May 26, 2011
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.149129 OH
Pediatrics Physician 208000000X 35.149129 OH
Pediatric Cardiology Physician 2080P0202X 35.149129 OH
Adult Congenital Heart Disease Physician 207RA0002X 35.149129 OH Primary

Addresses

Primary practice location

3333 Burnet Ave # Mlc2003
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Ave # Mlc2003
Cincinnati, OH 45229-3026
Phone (513) 803-2243

Other practice location 1

2765 Chapel Pl
Crestview Hills, KY 41017-3413
Phone (513) 803-2243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OH, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200506002233 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4880025865 Reassigns benefits to 1 organization
I20230907002734 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880025865 Reassigns benefits to 1 organization
I20240410003830 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 4880025865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Indiana University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2765 Chapel PL
Crestview Hills, KY 41017-3413
Phone (859) 344-5390

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.149129OHMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Healthcare of Atlanta Cardiology Inc Pediatric Cardiology CurrentSince Sep 1, 2020 Accepting new patients

Locations

2835 Brandywine Rd
Ste 300
Atlanta, GA 30341
Phone (770) 488-9202

2835 Brandywine Rd
Ste 400
Atlanta, GA 30341

60 Executive Park South NE
Atlanta, GA 30329

738 Old Norcross Rd
Lawrenceville, GA 30046
Phone (470) 415-8320

5461 Meridian Mark Rd
Ste 530
Sandy Springs, GA 30342

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1891088613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE # MLC2003",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-803-2243",
            "fax_number": "513-803-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE # MLC2003",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-803-2243",
            "fax_number": "513-803-0079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2765 Chapel Pl",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410173413",
            "country_code": "US",
            "telephone_number": "513-803-2243",
            "fax_number": "513-803-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLAYTON",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.149129",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.149129",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OH",
            "license": "35.149129",
            "primary": false
        },
        {
            "code": "207RA0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adult Congenital Heart Disease",
            "state": "OH",
            "license": "35.149129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.