MR. KENNETH A SMITH MD
NPI 1003907304
Internal Medicine - Rheumatology in Fort Wayne, IN
About Mr. Kenneth A Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH A SMITH MD (NPI 1003907304) is an individual rheumatology provider in Fort Wayne, Indiana, licensed in Indiana (01022346) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 11
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Kenneth A Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46825
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Smith's NPI number?
The NPI number for Kenneth Smith is 1003907304. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Kenneth Smith located?
Kenneth Smith practices at 1234 East Dupont Road Suite 5, Fort Wayne, IN 46825. The listed phone number is (260) 489-1666.
What is Kenneth Smith's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Kenneth Smith enrolled in Medicare?
Yes. Kenneth Smith is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kenneth Smith was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Kenneth A Smith, MD · NPI 1003907304
Rheumatology physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1003907304 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 01022346 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1234 EAST DUPONT ROAD, SUITE 5, Fort Wayne, IN 46825
- **Phone:** (260) 489-1666 · **Fax:** (260) 489-3255
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** August 3, 2012
- **Other identifiers:** Other 000000637485 (IN); Other 000000006713; Medicaid 200092670 (IN); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1003907304) · Data from the CMS NPPES public registry.