Individual provider Active NPI

Donald R Smith, MD

  • Family Medicine Physician
  • Green Valley, AZ
National Provider Identifier
1992787790
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18818 Issued in AZ
Practice address
1260 S Campbell Ave
Building 2
Green Valley, AZ 85614-0503
Phone
(520) 407-5400
Fax
(520) 407-5990
NPI assigned
Nov 17, 2005
Last updated
Jan 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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 18818 AZ Primary

Addresses

Primary practice location

1260 S Campbell Ave
Building 2
Green Valley, AZ 85614-0503

Mailing address

1260 S Campbell Ave
Building 2
Green Valley, AZ 85614-0503
Phone (520) 407-5400

Other identifiers 1

IdentifierTypeStateIssuer
125725MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20041004000202 AZ Practitioner - Family Practice 3870552169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1260 S Campbell Ave
Green Valley, AZ 85614-0503
Phone (520) 407-5800

1260 S Campbell Ave
BLDG 2
Green Valley, AZ 85614-0502
Phone (520) 407-5400

1260 S Campbell Ave BLDG
Suite 2
Green Valley, AZ 85614-0502

13299 E Colossal Cave Rd
Vail, AZ 85641-9001
Phone (520) 762-5200

15921 W Ajo Hwy
Tucson, AZ 85735-2032
Phone (520) 407-5700

28720 S Nogales Hwy
Amado, AZ 85645-9997
Phone (520) 407-5602

2875 E Sahuarita Rd
Sahuarita, AZ 85629-9434
Phone (520) 576-5770

4475 S I 19 Frontage Rd
Suite 139
Green Valley, AZ 85614-5884
Phone (520) 407-5910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18818AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Community Health Center-Maria Auxiliadora, Inc. CurrentSince Jun 23, 2025 Accepting new patients
United Community Health Center - Maria Auxiliadora, Inc. Current Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. CurrentSince Jan 1, 2004 Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. CurrentSince Jan 1, 2004 Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. Past Accepting new patients
United Community Health Center - Maria Auxiliadora, Inc. Past Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. PastSince Jun 23, 2025 Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. Past Accepting new patients

Locations

28720 S Nogales Hwy
Amado, AZ 85645
Phone (520) 407-5510

1260 S Campbell Ave
Green Valley, AZ 85614
Phone (520) 407-5600

1260 S Campbell Ave
Bldg 1
Green Valley, AZ 85614
Phone (520) 407-5400

1260 S Campbell Ave
Bldg 2
Green Valley, AZ 85614
Phone (520) 407-5400

1991 E Whitehouse Canyon Rd
Green Valley, AZ 85614
Phone (520) 625-3691

350 W Sahuarita Rd
Sahuarita, AZ 85629
Phone (520) 625-3502

9875 S Sasabe Rd
Tucson, AZ 85736
Phone (520) 407-5500

13299 E Colossal Cave Rd
Vail, AZ 85641
Phone (520) 407-5606

16701 S Houghton Rd
Vail, AZ 85641
Phone (520) 625-4401

Interoperability endpoints

  • Direct secure messaging: donald.smith@uchc.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1992787790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE",
            "address_2": "BUILDING 2",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140503",
            "telephone_number": "520-407-5400",
            "fax_number": "520-407-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE",
            "address_2": "BUILDING 2",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140503",
            "telephone_number": "520-407-5400",
            "fax_number": "520-407-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "18818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125725",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.