Active NPI
Michael Robert Smith, PA-C
- Surgical Physician Assistant
- Exeter, NH
National Provider Identifier
1922087345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 0417
- Practice address
- 1 Hampton Rd
Suite 200
Exeter, NH 03833-4848 - Phone
- (603) 775-7575
- Fax
- (603) 778-9680
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 0417 | NH | Primary |
Addresses
Primary practice location
1 Hampton Rd
Suite 200
Exeter, NH 03833-4848
Mailing address
1 Hampton Rd
Suite 200
Exeter, NH 03833-4848
Phone (603) 775-7575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30333019 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hampton Rd
Unit 200
Exeter, NH 03833-4855
Phone (603) 775-7575
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.62 of 100
- Quality
- 53.18
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 79.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Sports Medicine & Orthopaedics, PLLC | Current | Accepting new patients | |
| Access Sports Medicine & Orthopaedics, PLLC | Current | Accepting new patients |
Locations
1 Hampton Rd
Unit 200
Exeter, NH 03833
Phone (603) 775-7575
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Exeter, NH
- NPI 1508938614
-
- Orthopaedic Surgery Physician
- Portsmouth, NH
- NPI 1508233511
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Exeter, NH
- NPI 1437158433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1922087345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HAMPTON RD",
"address_2": "SUITE 200",
"city": "EXETER",
"state": "NH",
"postal_code": "038334848",
"telephone_number": "603-775-7575",
"fax_number": "603-778-9680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HAMPTON RD",
"address_2": "SUITE 200",
"city": "EXETER",
"state": "NH",
"postal_code": "038334848",
"telephone_number": "603-775-7575",
"fax_number": "603-778-9680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NH",
"license": "0417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30333019",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Exeter, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.