Individual provider Active NPI

Robert Charles Smith II, MD

  • Family Medicine Physician
  • Bossier City, LA
National Provider Identifier
1972863231
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.206659 Issued in LA
Practice address
2300 Hospital Dr
Suite 200
Bossier City, LA 71111-2394
Phone
(318) 212-7830
Fax
(318) 212-7835
NPI assigned
May 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP1-0044182 TX
Family Medicine Physician 207Q00000X MD.206659 LA Primary

Addresses

Primary practice location

2300 Hospital Dr
Suite 200
Bossier City, LA 71111-2394

Mailing address

2300 Hospital Dr
Suite 200
Bossier City, LA 71111-2394
Phone (318) 212-7830

Other identifiers 1

IdentifierTypeStateIssuer
2355775MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20140506001746 LA Practitioner - Family PracticePractitioner - Emergency Medicine 9436382025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Louisiana Family PracticeGroup PAC ID 3375557929, 9 clinicians

Practice addresses (Care Compare)

2300 Hospital Dr
Suite 200
Bossier City, LA 71111-2169
Phone (318) 212-7830

Hospital & facility affiliations

  • Elara Caring Home health agency, Bossier City, LA, CCN 197226
  • National Home Care Services Home health agency, Minden, LA, CCN 197402
  • Louisiana Homecare Home health agency, Mansfield, LA, CCN 197052
  • Primestar Home Health of Nwla, Inc Home health agency, Minden, LA, CCN 197446
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.206659LAMDFamily Medicine Physician
BP1-0044182TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Louisiana Family Practice Family Medicine CurrentSince Oct 19, 2016 Accepting new patients
WK Urgent Care Center-Pierremont Family Medicine CurrentSince Aug 1, 2015 Accepting new patients

Locations

2400 Hospital Dr
Ste 130
Bossier City, LA 71111
Phone (318) 212-7990

5751 Shed Rd
Ste 120
Bossier City, LA 71111
Phone (318) 935-1922

2300 Hospital Dr
Ste 200
Bossier City, LA 71111
Phone (318) 212-7830

2300 Hospital Dr
Ste 180
Bossier City, LA 71111
Phone (318) 212-7520

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

2520 Bert Kouns Industrial Loop
Shreveport, LA 71118

1666 E Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71105
Phone (318) 212-3520

2520 Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71118
Phone (318) 212-5520

Interoperability endpoints

  • Direct secure messaging: rsmith8@direct.wkhs.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 9

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1972863231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112394",
            "telephone_number": "318-212-7830",
            "fax_number": "318-212-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112394",
            "telephone_number": "318-212-7830",
            "fax_number": "318-212-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP1-0044182",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.206659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2355775",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.