SHADRACH J SMITH JR. M.D.
NPI 1093770299
Internal Medicine in Overland Park, KS

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
12140 NALL AVE, SUITE 100, OVERLAND PARK, KS 66209(913) 451-8500(913) 451-1754 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shadrach J Smith Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADRACH J SMITH JR. M.D. (NPI 1093770299) is an individual internal medicine provider in Overland Park, Kansas, licensed in Missouri (2000174361) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1978).

NPPES Registry Identity

NPI1093770299
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHADRACH J SMITH JR.Credential: M.D.
Location Address12140 NALL AVE, SUITE 100Overland Park, KS 66209
Mailing Address12140 Nall Ave, Suite 100Overland Park, KS 66209 · (913) 451-8500 · Fax (913) 451-1754
Fax(913) 451-1754
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1978
Enumeration DateApril 19, 2006
Last NPPES UpdateJuly 24, 2013
NPI 1093770299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 2000174361
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12140 NALL AVE, Overland Park, KS 66209

Other Identifiers 1

Medicare UPINC50468MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shadrach J Smith Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517081433
PECOS Enrollment IDI20100830000906
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
163 services62 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
113 services43 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
113 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services11 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
12140 NALL AVE, SUITE 230
OVERLAND PARK, KS 66209
Clinic/Center (Mental Health (Including Community Mental Health Center))
12140 NALL AVE, SUITE 315
OVERLAND PARK, KS 66209
Clinic/Center (Mental Health (Including Community Mental Health Center))
12140 NALL AVE, SUITE 315
OVERLAND PARK, KS 66209
Internal Medicine
12140 NALL AVE, SUITE 125
OVERLAND PARK, KS 66209
Nurse Practitioner (Adult Health)
12140 NALL AVE, SUITE 100
OVERLAND PARK, KS 66209
Dietitian, Registered
12140 NALL AVE, SUITE 100
OVERLAND PARK, KS 66209
Nurse Practitioner (Family)
12140 NALL AVE, SUITE 200
OVERLAND PARK, KS 66209
Internal Medicine
12140 NALL AVE, SUITE 100
OVERLAND PARK, KS 66209

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 Shadrach Smith's NPI number?

The NPI number for Shadrach Smith is 1093770299. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Shadrach Smith located?

Shadrach Smith practices at 12140 Nall Ave Suite 100, Overland Park, KS 66209. The listed phone number is (913) 451-8500.

What is Shadrach Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shadrach Smith enrolled in Medicare?

Yes. Shadrach Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shadrach Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Shadrach Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadrach Smith was last updated on July 24, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.