Individual provider Active NPI

S. Scott Smith, M.D.

  • Internal Medicine Physician
  • Lone Tree, CO
National Provider Identifier
1912034984
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38479 Issued in CO
Practice address
9695 S Yosemite St Ste 224
Lone Tree, CO 80124-2890
Phone
(303) 265-3970
Fax
(303) 265-3971
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 Q2710 TX
Internal Medicine Physician 207R00000X ME155336 FL
Internal Medicine Physician 207R00000X 38479 CO Primary

Addresses

Primary practice location

9695 S Yosemite St Ste 224
Lone Tree, CO 80124-2890

Mailing address

9695 S Yosemite St Ste 224
Lone Tree, CO 80124-2890
Phone (303) 265-3970

Other practice location 1

13691 Metro Pkwy Ste 420
Fort Myers, FL 33912-4349
Phone (239) 215-4064

Other identifiers 7

IdentifierTypeStateIssuer
75-2616977-007OtherTXTRICARE
342522501MedicaidTX
43302815MedicaidCO
P01443279OtherTXRAIL ROAD MEDICARE
75-2616977-118OtherTXTRICARE
8EW546OtherTXBCBS
75-2616977-066OtherTXTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20111102000550 CO Practitioner - Internal Medicine 8820261142 Reassigns benefits to 1 organization
I20220506002273 FL Practitioner - Internal Medicine 8820261142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

9695 S Yosemite St
Suite 224 Uchmg Primary Care Yosemite
Lone Tree, CO 80124-2890
Phone (303) 265-3970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38479COMDInternal Medicine Physician
ME155336FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Millennium Physician Group LLC CurrentSince May 1, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

9695 S Yosemite St
Ste 224UCHMG
Lone Tree, CO 80124
Phone (303) 265-3970

9695 S Yosemite St
Ste 224
Lone Tree, CO 80124
Phone (303) 265-3970

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

14350 Metropolis Ave
Ste 1
Fort Myers, FL 33912
Phone (239) 275-3036

13691 Metro Pkwy
Ste 420
Fort Myers, FL 33912
Phone (239) 215-4064

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Interoperability endpoints

  • Direct secure messaging: ssmith102000@christushealth.direct-ci.net

Organizations & group practices 4

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

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1912034984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST STE 224",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242890",
            "telephone_number": "303-265-3970",
            "fax_number": "303-265-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST STE 224",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242890",
            "telephone_number": "303-265-3970",
            "fax_number": "303-265-3971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13691 Metro Pkwy Ste 420",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124349",
            "country_code": "US",
            "telephone_number": "239-215-4064",
            "fax_number": "239-215-4063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "S. SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q2710",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME155336",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "38479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-007",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342522501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43302815",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01443279",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-118",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EW546",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-066",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.