Active NPI
Timothy W. Smith, M.D.
- Pulmonary Disease Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- R8020
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100168550C | Medicaid | KS | |
| SM516703 | Medicaid | KS | |
| 202740700 | Medicaid | MO | |
| 14171042 | Other | MO | BCBS OF KC |
| 1972680627 | Medicaid | MO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R8020 | MO | MD | Critical Care Medicine (Internal Medicine) Physician |
| 04-16543 | KS | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Physicians of Kansas City, Inc. | Pulmonary Disease | Current | Accepting new patients |
| Prime Healthcare Kansas City - Physician Services LLC | Internal Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1427449487
Internal Medicine
-
- Pulmonary Disease Physician
- Kansas City, MO
- NPI 1588787501
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Butler, MO
- NPI 1770536740
-
- Rural Acute Care Hospital
- Nevada, MO
- NPI 1942283866
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1528463080
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.