Individual provider Active NPI

Benjamin R Smith, MD

  • Clinical Cardiac Electrophysiology Physician
  • N Chelmsford, MA
National Provider Identifier
1922159326
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
213442 Issued in MA
Practice address
14 Research PL
N Chelmsford, MA 01863-2412
Phone
(978) 256-6607
Fax
(978) 250-8189
NPI assigned
Jan 15, 2007
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 213442 MA
Clinical Cardiac Electrophysiology Physician 207RC0001X 213442 MA Primary

Addresses

Primary practice location

14 Research PL
N Chelmsford, MA 01863-2412

Mailing address

14 Research PL
N Chelmsford, MA 01863-2412
Phone (978) 256-6607

Other identifiers 1

IdentifierTypeStateIssuer
0190110MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20041027000378 MA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3971565508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Albany Medical College of Union University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LGH Merrimack Valley Cardiology Associates, LLCGroup PAC ID 4082886569, 22 clinicians

Practice addresses (Care Compare)

14 Research PL
Suite 3
North Chelmsford, MA 01863-2460
Phone (978) 256-6607

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Cardiology Cardiovascular Disease Current Accepting new patients
LGH Merrimack Valley Cardiology Associates, LLC Cardiovascular Disease CurrentSince Oct 1, 2011 Accepting new patients

Locations

27 Village Sq
Chelmsford, MA 01824
Phone (978) 244-0060

14 Research Pl
North Chelmsford, MA 01863
Phone (978) 256-6607

14 Research Pl
Ste 3
North Chelmsford, MA 01863
Phone (978) 256-6607

Interoperability endpoints

  • Direct secure messaging: bsmith27288@tuftsmedicine.direct-ci.com

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 2

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1922159326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-256-6607",
            "fax_number": "978-250-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-256-6607",
            "fax_number": "978-250-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BENJAMIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "213442",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MA",
            "license": "213442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190110",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.