Carl Edwin Smith Jr., MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

24028 Issued in KY

Practice address

120 Professional Lane
Ste 201
Harlan, KY 40831-2603

Phone

(606) 573-1004

Fax

(606) 573-0059

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Pediatric Medicine

Education

University of Kentucky College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/mi-smithmd

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.

• Carl E. Smith, M.D., F.a.a.P., PLLC

  • Specialist
  • Harlan, KY
  • NPI 1053427286
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1972583607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PROFESSIONAL LANE",
            "address_2": "STE 201",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312603",
            "telephone_number": "606-573-1004",
            "fax_number": "606-573-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PROFESSIONAL LANE",
            "address_2": "STE 201",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312603",
            "telephone_number": "606-573-1004",
            "fax_number": "606-573-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARL",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "24028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31000953",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia Natasha Scott, LCSW
• Sabrina Sergent, APRN
• Austin Howard Short
• Gursharan Kaur Sidhu, MD
• Kirpal S Sidhu, MD
• Melody Smith
• Ashleigh Marie Spencer
• Amber Nicole Stepp, PSS
• Kara L Storey, P.T.
• Jennifer R Summers, APRN

• Pediatrics Physician in Harlan, KY
• Providers in Harlan, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.

Verify at the official NPI Registry.