Individual provider Active NPI

Michael David Smith, D.O.

  • Family Medicine Physician
  • Langhorne, PA
National Provider Identifier
1992760219
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS005896L Issued in PA
Practice address
320 Middletown Blvd
Ste 301
Langhorne, PA 19047-3205
Phone
(215) 757-5400
Fax
(215) 750-2611
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS005896L PA Primary

Addresses

Primary practice location

320 Middletown Blvd
Ste 301
Langhorne, PA 19047-3205

Mailing address

320 Middletown Blvd Suite #301
PO Box 908
Langhorne, PA 19047-6335
Phone (267) 568-2042

Other identifiers 6

IdentifierTypeStateIssuer
039614OtherPAHIGHMARK BLUE SHIELD
30072273OtherPAKEYSTONE MERCY
45738OS005896LOtherPAHEALTH PARTNERS
0022608000OtherPAKEYSTONE IBC
0015595920001MedicaidPA
0019841OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100726000412 PA Practitioner - General Practice 8921130006 Reassigns benefits to 1 organization
Practice locations: Langhorne, PA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Philadelphia College of Osteopathic Medicine, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

320 Middletown Blvd
Suite 301
Langhorne, PA 19047-3205
Phone (215) 757-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
68.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Valley Medical Practice PC Family Medicine CurrentSince Nov 25, 2019 Accepting new patients

Locations

320 Middletown Blvd
Ste 301
Langhorne, PA 19047
Phone (215) 757-5400

Interoperability endpoints

  • Direct secure messaging: michael.smith.1@22939.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22939/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 8

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1992760219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MIDDLETOWN BLVD SUITE #301",
            "address_2": "PO BOX 908",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190476335",
            "telephone_number": "267-568-2042",
            "fax_number": "215-750-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MIDDLETOWN BLVD",
            "address_2": "STE 301",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473205",
            "telephone_number": "215-757-5400",
            "fax_number": "215-750-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005896L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "039614",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30072273",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "45738OS005896L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE IBC",
            "identifier": "0022608000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015595920001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0019841",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.