Active NPI
Donald R Smith, MD
- Family Medicine Physician
- Green Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18818
- 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, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125725 | Medicaid | AZ |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18818 | AZ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Community Health Center-Maria Auxiliadora, Inc. | Current | Accepting new patients | |
| United Community Health Center - Maria Auxiliadora, Inc. | Current | Accepting new patients | |
| United Community Health Center-Maria Auxiliadora, Inc. | Current | Accepting new patients | |
| United Community Health Center-Maria Auxiliadora, Inc. | Current | 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. | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Green Valley, AZ
- NPI 1093766867
-
- Federally Qualified Health Center (FQHC)
- Amado, AZ
- NPI 1063732675
-
- Federally Qualified Health Center (FQHC)
- Green Valley, AZ
- NPI 1275715286
-
- Federally Qualified Health Center (FQHC)
- Green Valley, AZ
- NPI 1811465966
-
- Federally Qualified Health Center (FQHC)
- Vail, AZ
- NPI 1528311958
-
- Federally Qualified Health Center (FQHC)
- Sahuarita, AZ
- NPI 1134622590
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1760663389
-
- Federally Qualified Health Center (FQHC)
- Arivaca, AZ
- NPI 1922050319
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucson, AZ
- NPI 1043581846
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.