Active NPI
Jill A Smith, MD
- Ophthalmology Physician
- Newton, MA
National Provider Identifier
1962598011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 150871
- Practice address
- 2000 Washington St
Suite 462
Newton, MA 02462-1650 - Phone
- (617) 964-1050
- Fax
- (617) 964-6449
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 150871 | MA | Primary |
Addresses
Primary practice location
2000 Washington St
Suite 462
Newton, MA 02462-1650
Mailing address
2000 Washington St
Suite 462
Newton, MA 02462-1650
Phone (617) 964-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3150569 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Duke University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 Walnut St
Suite 2
Wellesley, MA 02481-2103
Phone (617) 964-1050
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 268 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150871 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Wellesley Eye Associates, P.C. | Ophthalmology | Current | Accepting new patients |
| Pratt Ophthalmology Associates Inc | Ophthalmology | Past | Accepting new patients |
Locations
2000 Washington St
Ste 462
Newton Lower Falls, MA 02462
Phone (617) 332-6311
60 Walnut St
Ste 2
Wellesley Hills, MA 02481
Phone (617) 964-1050
Interoperability endpoints
- smith.jill.nwea@direct.partners.masshiway.net
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.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1083660534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962598011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 WASHINGTON ST",
"address_2": "SUITE 462",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621650",
"telephone_number": "617-964-1050",
"fax_number": "617-964-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WASHINGTON ST",
"address_2": "SUITE 462",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621650",
"telephone_number": "617-964-1050",
"fax_number": "617-964-6449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JILL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "150871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3150569",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.