Individual provider Active NPI

Mikel Dwaine Smith, MD

  • Cardiovascular Disease Physician
  • Lexington, KY
National Provider Identifier
1922012509
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
22018 Issued in KY
Practice address
Gill Heart Institute 800 Rose St
G100
Lexington, KY 40536-0093
Phone
(859) 323-0295
Fax
(859) 257-8699
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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 22018 KY
Gastroenterology Physician 207RG0100X 22018 KY
Hepatology Physician 207RI0008X 22018 KY
Cardiovascular Disease Physician 207RC0000X 22018 KY Primary

Addresses

Primary practice location

Gill Heart Institute 800 Rose St
G100
Lexington, KY 40536-0093

Mailing address

Gill Heart Institute 900 South Limestone St
Suite 320
Lexington, KY 40536-0200
Phone (859) 323-3976

Other identifiers 1

IdentifierTypeStateIssuer
64220189MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080509000598 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6204915689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Kentucky College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

100 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 257-9800

2400 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 323-7426

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 226-7006

310 S Limestone St
Lexington, KY 40508-3008
Phone (859) 226-7750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22018KYMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc Internal Medicine CurrentSince May 1, 2008 Accepting new patients

Locations

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
#G100
Lexington, KY 40536
Phone (859) 323-0295

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

Interoperability endpoints

  • Direct secure messaging: msmith18875@ukhcdirect.org

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 and National Provider Directory roles.

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1922012509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GILL HEART INSTITUTE 900 SOUTH LIMESTONE ST",
            "address_2": "SUITE 320",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360200",
            "telephone_number": "859-323-3976",
            "fax_number": "859-257-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GILL HEART INSTITUTE 800 ROSE ST",
            "address_2": "G100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360093",
            "telephone_number": "859-323-0295",
            "fax_number": "859-257-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MIKEL",
        "middle_name": "DWAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "22018",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "22018",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "KY",
            "license": "22018",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "22018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64220189",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.