Individual provider Active NPI

Thomas Ross Smith, MD

  • Interventional Cardiology Physician
  • Monroe, LA
National Provider Identifier
1972895282
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD.206916 Issued in LA
Practice address
2516 Broadmoor Blvd
Monroe, LA 71201
Phone
(318) 322-1161
Fax
(318) 322-9313
NPI assigned
May 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD.206916 LA Primary
Cardiovascular Disease Physician 207RC0000X MD.206916 LA

Addresses

Primary practice location

2516 Broadmoor Blvd
Monroe, LA 71201

Mailing address

130 Desiard St Ste 355
Monroe, LA 71201-7363
Phone (318) 807-7875

Other practice location 1

1501 Kings Hwy
Cardiology
Shreveport, LA 71103-4228
Phone (318) 813-2500

Other practice location 2

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4000

Other practice location 3

312 Grammont St Ste 404
Monroe, LA 71201-7403
Phone (318) 966-6800

Other identifiers 1

IdentifierTypeStateIssuer
2144634MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tsmith131684@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20180725001256 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2567766702 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Surgical Hospital, LLC CurrentSince Feb 12, 2020 Accepting new patients
St Francis Medical Center, Inc CurrentSince Aug 1, 2022 Accepting new patients
St Francis Medical Group LLC CurrentSince Jan 2, 2024 Accepting new patients
St. Francis Medical Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Affinity Health Group LLC Cardiovascular Disease CurrentSince Aug 1, 2018 Accepting new patients
Affinity Health Group, LLC CurrentSince Aug 1, 2018 Accepting new patients
Monroe Surgical Hospital, LLC CurrentSince Feb 12, 2020 Accepting new patients
Affinity Health Group, LLC Cardiovascular Disease Current Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

2516 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 322-1161

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

2600 Tower Dr
Ste 415
Monroe, LA 71201
Phone (318) 966-2001

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

312 Grammont St
Ste 404
Monroe, LA 71201
Phone (318) 323-1809

2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

Organizations & group practices 9

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Louisiana State University School of Medicine in Shreveport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Surgical Hospital, LLC 6 clinicians
St Francis Medical Group LLC 176 clinicians

Practice addresses (Care Compare)

2408 Broadmoor Blvd
Monroe, LA 71201-2994
Phone (318) 410-0002

312 Grammont St
Suite 404
Monroe, LA 71201-7403
Phone (318) 966-2001

Hospital & facility affiliations

  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245
  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160
  • Northern Louisiana Medical Center Hospital, Ruston, LA, CCN 190086
  • Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting65
Pacemaker insertion or repair15

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1972895282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST STE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017363",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 BROADMOOR BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-322-1161",
            "fax_number": "318-322-9313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_2": "Cardiology",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-813-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4000",
            "fax_number": "318-966-7359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Grammont St Ste 404",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017403",
            "country_code": "US",
            "telephone_number": "318-966-6800",
            "fax_number": "318-966-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "middle_name": "ROSS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "MD.206916",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.206916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2144634",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsmith131684@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tsmith131684@direct.casso.us.com",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.