KIRKWOOD MEDICAL PRACTICE
NPI 1497530463
Clinic/Center in Kirkwood, NY
About Kirkwood Medical Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIRKWOOD MEDICAL PRACTICE (NPI 1497530463), doing business as Jemille Smith, is a healthcare organization registered as a clinic/center in Kirkwood, New York and active in the NPI registry since August 2023. The organization lists Jemille Smith, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kirkwood Medical Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Kirkwood Medical Practice, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kirkwood Medical Practice's NPI number?
The NPI number for Kirkwood Medical Practice is 1497530463. It was assigned to this organization in the NPPES registry on August 29, 2023. The provider is doing business as Jemille SMith.
Where is Kirkwood Medical Practice located?
Kirkwood Medical Practice is located at 865 Route 11, Kirkwood, NY 13795. The listed phone number is (434) 420-0466.
What is Kirkwood Medical Practice's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Kirkwood Medical Practice enrolled in Medicare?
Yes. Kirkwood Medical Practice is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kirkwood Medical Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kirkwood Medical Practice, in General Practice and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kirkwood Medical Practice was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kirkwood Medical Practice · NPI 1497530463
Clinic/Center organization in Kirkwood, New York. Organization record, active in the CMS NPPES registry since August 29, 2023.
## Identity
- **NPI:** 1497530463 (Entity type: Organization)
- **Enumerated:** August 29, 2023
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Jemille SMith (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jemille Smith, OWNER
## Practice location
- **Address:** 865 ROUTE 11, Kirkwood, NY 13795
- **Phone:** (434) 420-0466
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497530463) · Data from the CMS NPPES public registry.