NPIMap

Individual provider Active NPI

Iva A Smolens, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mesa, AZ
National Provider Identifier
1992794564
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35752 Issued in AZ
Practice address
2204 S Dobson Rd
Suite 204
Mesa, AZ 85202-6457
Phone
(480) 782-6900
Fax
(480) 782-6905
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35752 AZ Primary
Surgery Physician 208600000X 35752 AZ

Addresses

Primary practice location

2204 S Dobson Rd
Suite 204
Mesa, AZ 85202-6457

Mailing address

2204 S Dobson Rd
Suite 204
Mesa, AZ 85202-6457
Phone (480) 782-6900

Other identifiers 1

IdentifierTypeStateIssuer
139163MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR, SC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20061219000495 AZ Practitioner - Thoracic Surgery 3173562741 Reassigns benefits to 1 organization
I20200303002345 OR Practitioner - Cardiac Surgery 3173562741 Reassigns benefits to 1 organization
I20231018001836 SC Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 3173562741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
State University of New York Downstate Medical Center, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Musc Health Marion Medical Center Hospital, Mullins, SC, CCN 420055

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35752AZMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Physician Services LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Feb 1, 2020 Accepting new patients
Musc Community Physicians Surgery Current Accepting new patients
Musc Community Physicians CurrentSince Sep 8, 2023 Accepting new patients
Musc Community Physicians CurrentSince Sep 8, 2023 Accepting new patients
Red Mountain Cardiothoracic Surgeons PC Surgery CurrentSince Jan 1, 2008 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
St. Clair Cardiovascular Surgeons, PLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
St Clair Cardiovascular Surgeons PLC Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Cardiopulmonary Surgical Associates, PLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

333 N Dobson Rd
Ste 15
Chandler, AZ 85224
Phone (480) 282-8336

2204 S Dobson Rd
Ste 204
Mesa, AZ 85202
Phone (480) 782-6900

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

805 Pamplico Hwy
Ste 300
Florence, SC 29505
Phone (843) 679-2760

Interoperability endpoints

  • Direct secure messaging: ismolens@yourcarecommunity.org
  • Direct secure messaging: ismolens433862@direct.musc.edu
  • Direct secure messaging: ismolens957548@direct.unitypoint.org
  • Direct secure messaging: iva.smolens.1@3628.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3628/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1992794564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S DOBSON RD",
            "address_2": "SUITE 204",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026457",
            "telephone_number": "480-782-6900",
            "fax_number": "480-782-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S DOBSON RD",
            "address_2": "SUITE 204",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026457",
            "telephone_number": "480-782-6900",
            "fax_number": "480-782-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLENS",
        "first_name": "IVA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "35752",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "35752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139163",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.