Individual provider Active NPI

Timothy W. Smith, M.D.

  • Pulmonary Disease Physician
  • Kansas City, MO
National Provider Identifier
1972680627
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
R8020 Issued in MO
Practice address
1004 Carondelet Dr Ste 300
Kansas City, MO 64114-4858
Phone
(816) 942-4500
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R8020 MO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X R8020 MO
Pulmonary Disease Physician 207RP1001X 04-16543 KS
Pulmonary Disease Physician 207RP1001X R8020 MO Primary

Addresses

Primary practice location

1004 Carondelet Dr Ste 300
Kansas City, MO 64114-4858

Mailing address

1004 Carondelet Dr Ste 300
Kansas City, MO 64114-4858
Phone (816) 942-4500

Other practice location 1

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 942-4500

Other practice location 2

5721 W 119th St
Overland Park, KS 66209-3722
Phone (913) 498-6000

Other practice location 3

1000 Carondelet Dr # 100
Kansas City, MO 64114-4673
Phone (816) 943-4700 ext. 81

Other practice location 4

615 W Nursery ST
Bates County Memorial Hospital
Butler, MO 64730
Phone (660) 200-7007

Other identifiers 5

IdentifierTypeStateIssuer
100168550CMedicaidKS
SM516703MedicaidKS
202740700MedicaidMO
14171042OtherMOBCBS OF KC
1972680627MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20101201001362 MO Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4587608773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Kansas City - Physician Services LLCGroup PAC ID 7315267325, 71 clinicians

Practice addresses (Care Compare)

1004 Carondelet Dr
Suite 300
Kansas City, MO 64114-4858
Phone (816) 942-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as group
Quality
61.06
Promoting interoperability
99
Improvement activities
40
Cost
74.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8020MOMDCritical Care Medicine (Internal Medicine) Physician
04-16543KSMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Physicians of Kansas City, Inc. Pulmonary Disease CurrentSince Jul 1, 2008 Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients

Locations

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

6509 W 103rd St
Overland Park, KS 66212
Phone (913) 649-3701

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

416 S High St
Butler, MO 64730
Phone (660) 679-6157

1004 Carondelet Dr
Ste 410
Kansas City, MO 64114
Phone (816) 381-8051

1000 Carondelet Dr
#100
Kansas City, MO 64114
Phone (816) 942-4500

1004 Carondelet Dr
Ste 300
Kansas City, MO 64114
Phone (816) 942-4500

930 Carondelet Dr
Ste 201
Kansas City, MO 64114
Phone (785) 943-3955

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

Interoperability endpoints

  • Direct secure messaging: timothy.smith.1@15058.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1972680627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144858",
            "telephone_number": "816-942-4500",
            "fax_number": "816-941-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144858",
            "telephone_number": "816-942-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144673",
            "country_code": "US",
            "telephone_number": "816-942-4500",
            "fax_number": "816-941-4504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5721 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093722",
            "country_code": "US",
            "telephone_number": "913-498-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Carondelet Dr # 100",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144673",
            "country_code": "US",
            "telephone_number": "816-943-4700 x81",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 W Nursery ST",
            "address_2": "Bates County Memorial Hospital",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "MO",
            "postal_code": "64730",
            "country_code": "US",
            "telephone_number": "660-200-7007",
            "fax_number": "660-200-7096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIMOTHY",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R8020",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "R8020",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "04-16543",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "R8020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100168550C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SM516703",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202740700",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "14171042",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972680627",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.