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DR. RICK JOEL SMITH MD
NPI 1104934603
Plastic Surgery - Plastic Surgery Within the Head and Neck in East Lansing, MI

Active since August 26, 2006PECOS EnrolledCLIA 23D0934377 · Waiver
1504 E GRAND RIVER AVE, SUITE100, EAST LANSING, MI 48823(517) 908-3040(517) 908-0856 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Dr. Rick Joel Smith Md NPPES

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

DR. RICK JOEL SMITH MD (NPI 1104934603) is an individual plastic surgery within the head and neck provider in East Lansing, Michigan, licensed in Michigan (4301051137) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through October 5, 2027.

NPPES Registry Identity

NPI1104934603
Entity TypeIndividualMale
Primary Taxonomy2082S0099X
Provider Legal NameDR. RICK JOEL SMITHCredential: MD
Location Address1504 E GRAND RIVER AVE, SUITE100East Lansing, MI 48823-4921
Mailing Address1504 E Grand River Ave, Suite100East Lansing, MI 48823-4921 · (517) 908-3040 · Fax (517) 908-0856
Phone(517) 908-3040
Fax(517) 908-0856
Sole ProprietorYes
Enumeration DateAugust 26, 2006
Last NPPES UpdateMay 2, 2019
✔ NPI 1104934603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Plastic Surgery Within the Head and NeckAllopathic & Osteopathic Physicians
Taxonomy Code2082S0099X
License✔ Licensed in MI · 4301051137
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
1504 E GRAND RIVER AVE, East Lansing, MI 48823
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Other Identifiers 4

Medicaid3160115MI
Other13 00007MI · Php Of Mid Michigan
Other13 70017MI · Php Family Care
Other2403303571MI · Bcbs Of Michigan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rick Joel Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0934377

Rick J Smith MD PC · East Lansing, MI
Active · expires Oct 5, 2027
CLIA Number23D0934377
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorRick J. Smith MD
Laboratory Phone(517) 908-3040
Laboratory LocationRick J Smith MD PC1504 E Grand River Avenue Suite 100, East Lansing, MI 48823
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

RICK J SMITH MD PC
Surgery (Plastic and Reconstructive Surgery)
1504 E GRAND RIVER AVE, STE 100
EAST LANSING, MI 48823
Ingham County (517) 908-3044

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 Rick Smith's NPI number?

The NPI number for Rick Smith is 1104934603. It was assigned to this individual provider in the NPPES registry on August 26, 2006.

Where is Rick Smith located?

Rick Smith practices at 1504 E Grand River Ave Suite100, East Lansing, MI 48823. The listed phone number is (517) 908-3040.

What is Rick Smith's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck, with taxonomy code 2082S0099X.

Is Rick Smith enrolled in Medicare?

Yes. Rick Smith is registered in the Medicare PECOS enrollment system.

Does Rick Smith hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0934377) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rick Smith accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Rick 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 Rick Smith was last updated on May 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.