DR. JEREMY TODD SMITH D.O.
NPI 1104047331
Emergency Medicine in Tulsa, OK
About Dr. Jeremy Todd Smith D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEREMY TODD SMITH D.O. (NPI 1104047331) is an individual emergency medicine provider in Tulsa, Oklahoma, licensed in Mississippi (PENDING) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeremy Todd Smith D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Jeremy Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74104
- Reassigned Medicare billing, Oklahoma enrollment
- 820 clinicians in this Medicare group
Norman, OK 73071
- Reassigned Medicare billing, Oklahoma enrollment
- 418 clinicians in this Medicare group
Kosciusko, MS 39090
- Reassigned Medicare billing, Mississippi enrollment
- 46 clinicians in this Medicare group
Hazlehurst, MS 39083
- Reassigned Medicare billing, Mississippi enrollment
- 159 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74132 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.
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 Jeremy Smith's NPI number?
The NPI number for Jeremy Smith is 1104047331. It was assigned to this individual provider in the NPPES registry on May 2, 2007.
Where is Jeremy Smith located?
Jeremy Smith practices at 717 W 71st St, Tulsa, OK 74132. The listed phone number is (918) 517-6300.
What is Jeremy Smith's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jeremy Smith enrolled in Medicare?
Yes. Jeremy Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jeremy Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Smith reassigns Medicare benefits to 4 organizations: St. John Physicians, Inc. (Tulsa, OK), Emergency Services Of Oklahoma PC (Norman, OK), Attala Emergency Group LLC (Kosciusko, MS) and Keystone Medical Services Of Ms, Inc (Hazlehurst, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeremy Smith was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jeremy Todd Smith, D.O. · NPI 1104047331
Emergency Medicine physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since May 2, 2007.
## Identity
- **NPI:** 1104047331 (Entity type: Individual)
- **Enumerated:** May 2, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** PENDING (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 717 W 71ST ST, Tulsa, OK 74132-1824
- **Phone:** (918) 517-6300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): St. John Physicians, Inc. (NPI 1336194406, Tulsa, OK); Emergency Services Of Oklahoma PC (NPI 1215249891, Norman, OK); Attala Emergency Group LLC (NPI 1407103294, Kosciusko, MS); Keystone Medical Services Of Ms, Inc (NPI 1174691059, Hazlehurst, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104047331) · Data from the CMS NPPES public registry.