Individual provider Active NPI

Jill A Smith, MD

  • Ophthalmology Physician
  • Newton, MA
National Provider Identifier
1962598011
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
150871 Issued in MA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3150569MedicaidMA

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
I20080818000800 MA Practitioner - Ophthalmology 5698840189 Reassigns benefits to 1 organization

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
Newton Wellesley Eye Associates PCGroup PAC ID 1355361742, 14 clinicians

Practice addresses (Care Compare)

60 Walnut St
Suite 2
Wellesley, MA 02481-2103
Phone (617) 964-1050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150871MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Wellesley Eye Associates, P.C. Ophthalmology CurrentSince Apr 2, 1996 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.