KANE SMITH (DO) – Anesthesiology Physician, NPI 1104404912

KANE SMITH (DO) is a healthcare provider. based in Louisville, Kentucky. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. TP737 (KY). The NPI Number for KANE SMITH (DO) is 1104404912

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KANE SMITH (DO)
NPI
1104404912
Phone
(502) 852-1732
Address
530 S Jackson St Rm C2A03
Enumeration Date
1 April 2021
Last Update Date
8 December 2025

Doctor Profile

Medical School Name
LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9708214000
Graduation Year
2021 (5 years ago)
PAC ID
1557879855
Group Practice PAC ID
8729349444
Professional Enrollment ID
I20250806001064
Address ID
CO805284426FO4700XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

756 ANESTHESIOLOGY in KY

Provider Addresses for KANE SMITH (DO)

  • 530 S Jackson St Rm C2A03

    Louisville, KY 402021675

    Phone: (502) 852-1732

    Type: Location

  • 530 S JACKSON ST RM C2A03

    LOUISVILLE, KY 402021675

    Phone: (502) 852-1732

    Type: Location

  • 1801 16TH ST

    GREELEY, CO 806315154

    Phone: (970) 810-4121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Avanos Medical ($19).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250806001064IAnesthesiologyCOTBD
I20251223003786IAnesthesiologyKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729349444View full group profile
NameSpecialtyState
Anesthesiology, HospitalistCO
Anesthesiology, HospitalistNE
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)CO
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)CO
A N E S T H E S I O L O G YCO
Certified Registered Nurse Anesthetist (Crna)NM
Certified Registered Nurse Anesthetist (Crna)SC

Reviews

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Frequently asked questions

What is KANE SMITH (DO)'s NPI number?
KANE SMITH (DO)'s NPI is 1104404912 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to KANE SMITH (DO)?
You should see KANE SMITH (DO) as active in CMS-hosted NPPES data.
What expertise is attributed to KANE SMITH (DO)?
KANE SMITH (DO)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is KANE SMITH (DO) located near Louisville?
KANE SMITH (DO) currently maps to Louisville, Kentucky in this extract.
When was this NPI issued?
Enumeration for KANE SMITH (DO) is noted as April 1, 2021 where the registry provides it.

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