KEITH R SMITH (MD) – Emergency Medicine Physician, NPI 1730128919

KEITH R SMITH (MD) is a healthcare provider. based in Lewis center, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35059011 (OH). The NPI Number for KEITH R SMITH (MD) is 1730128919

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
KEITH R SMITH (MD)
NPI
1730128919
Phone
(740) 549-9930
Address
3205 MONTCLAIR AVE
Enumeration Date
5 June 2006
Last Update Date
5 June 2014

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6148984000
Graduation Year
1988 (38 years ago)
PAC ID
2264336692
Group Practice PAC ID
8426326554
Professional Enrollment ID
I20050824000852
Address ID
OH430818971WE500XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

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Provider Addresses for KEITH R SMITH (MD)

  • 3205 MONTCLAIR AVE

    LEWIS CENTER, OH 430358970

    Phone: (740) 549-9930

    Type: Mailing

  • Mount Carmel Saint Ann's Hospital, 500, South Cleveland Avenue, Westerville, Sharon, Franklin, Ohio, 43081, United States

    WESTERVILLE, OH 430818971

    Phone: (614) 898-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2023-10-11 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($26).

Total Amount

$65

General + Research + Ownership

Payments

4

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-11

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: 2005-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050824000852IEmergency MedicineOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only144136$0
99285Emergency department visit with high level of medical decision making136131$0
99284Emergency department visit with moderate level of medical decision making4644$0
99291Critical care, first 30-74 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 43035)

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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: 8426326554View full group profile
NameSpecialtyState
Nurse PractitionerOH
-IN
Nurse PractitionerOH
Emergency Medicine, General PracticeWV
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineKY
Internal Medicine, Emergency MedicineOH
-NY

Reviews

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Frequently asked questions

What number should I use to identify KEITH R SMITH (MD) for billing?
Administrative and clinical systems typically use NPI 1730128919 for KEITH R SMITH (MD).
Is KEITH R SMITH (MD)'s NPI status active today?
Active status means KEITH R SMITH (MD)'s NPI record is not deactivated in the public file.
What services align with KEITH R SMITH (MD)'s listing?
KEITH R SMITH (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEITH R SMITH (MD)?
KEITH R SMITH (MD) is associated with Lewis Center, Ohio in the same public data insurers reference.
Can I export KEITH R SMITH (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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