Individual provider Active NPI

Karen Russell Smith, MD

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1942293329
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1338712 Issued in LA
Practice address
461 Heymann Blvd
Lafayette, LA 70503-2616
Phone
(337) 289-8646
Fax
(337) 289-8647
NPI assigned
Aug 31, 2005
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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 1338712 LA Primary

Addresses

Primary practice location

461 Heymann Blvd
Lafayette, LA 70503-2616

Mailing address

461 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 289-8946

Other identifiers 1

IdentifierTypeStateIssuer
1565342MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20041221000096 LA Practitioner - Internal Medicine 8123085420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SW Louisiana Internal Medicine LLCGroup PAC ID 8325450059, 2 clinicians

Practice addresses (Care Compare)

105 Patriot St
Suite 202
Lafayette, LA 70508-6831
Phone (337) 257-2838

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1338712LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SW Louisiana Internal Medicine LLC Internal Medicine CurrentSince Jan 23, 2021 Accepting new patients
Kemp Coreil MD Apmc Internal Medicine CurrentSince Aug 15, 2021 Accepting new patients
Dr. Karen Smiths Office LLC Internal Medicine PastSince Jul 16, 2004 Accepting new patients

Locations

105 Patriot St
Ste 202
Lafayette, LA 70508
Phone (337) 257-2838

Interoperability endpoints

  • Direct secure messaging: karen.smith.1@22993.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1942293329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-289-8946",
            "fax_number": "337-289-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-289-8646",
            "fax_number": "337-289-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAREN",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "1338712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1565342",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.