Individual provider Active NPI

Valerie C. Smart, MD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1902061401
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0076184 Issued in FL
Practice address
6371 Presidential CT
Suite 2
Fort Myers, FL 33919-3544
Phone
(239) 277-7747
Fax
(239) 277-7097
NPI assigned
Jul 23, 2008
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0076184 FL Primary

Addresses

Primary practice location

6371 Presidential CT
Suite 2
Fort Myers, FL 33919-3544

Mailing address

6371 Presidential CT
Suite 2
Fort Myers, FL 33919-3544
Phone (239) 277-7747

Other identifiers 1

IdentifierTypeStateIssuer
001295400MedicaidFL

Other names 1

  • Dr. Valerie C. Smart-White Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041002000174 FL Practitioner - Internal Medicine 3173592441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6371 Presidential Court
Suite 2
Fort Myers, FL 33919-3544

6371 Presidential CT
Suite 2
Fort Myers, FL 33919-3544
Phone (239) 277-7747

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0076184FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valerie C Smart MD PA Internal Medicine CurrentSince Oct 1, 2000 Accepting new patients

Locations

6371 Presidential Ct
Ste 2
Fort Myers, FL 33919
Phone (239) 277-7747

Organizations & group practices 1

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 1

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1902061401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6371 PRESIDENTIAL CT",
            "address_2": "SUITE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193544",
            "telephone_number": "239-277-7747",
            "fax_number": "239-277-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6371 PRESIDENTIAL CT",
            "address_2": "SUITE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193544",
            "telephone_number": "239-277-7747",
            "fax_number": "239-277-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "VALERIE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0076184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001295400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "SMART-WHITE",
            "middle_name": "C.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.