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DR. WILLIAM KEITH SMITH SR. DPM
NPI 1629050364
Podiatrist - Foot & Ankle Surgery in Shawnee, OK

Active since November 17, 2005PECOS Enrolled
1627 N KICKAPOO AVE, SHAWNEE, OK 74804(405) 275-8234(405) 275-7298 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. William Keith Smith Sr. Dpm NPPES

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

DR. WILLIAM KEITH SMITH SR. DPM (NPI 1629050364) is an individual foot & ankle surgery provider in Shawnee, Oklahoma, licensed in Oklahoma (152) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629050364
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. WILLIAM KEITH SMITH SR.Credential: DPM
Location Address1627 N KICKAPOO AVEShawnee, OK 74804-4313
Mailing Address1627 N Kickapoo AveShawnee, OK 74804-4313 · (405) 275-8234 · Fax (405) 275-7298
Phone(405) 275-8234
Fax(405) 275-7298
Sole ProprietorYes
Enumeration DateNovember 17, 2005
Last NPPES UpdateMarch 9, 2016
✔ NPI 1629050364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in OK · 152
1627 N KICKAPOO AVE, Shawnee, OK 74804
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Other Identifiers 4

Medicare UPINT40772OK
OtherP01598909OK · Railroad Medicare
Medicaid100779540AOK
Medicare PIN467075ZSR2OK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Keith Smith Sr. Dpm 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.

Medicare Billing Reassignments

2

Medicare enrollment records show William Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prairie Gardens Medical LLC
38 mi
General Practice
1213 NW 122ND ST STE 401
Oklahoma City, OK 73114
  • Reassigned Medicare billing, Oklahoma enrollment
  • 8 clinicians in this Medicare group
NPI 1689280067 (405) 962-9123
White Eagle Health Center
86 mi
Clinic/Center
200 WHITE EAGLE DRIVE
Ponca City, OK 74601
  • Reassigned Medicare billing, Oklahoma enrollment
  • 22 clinicians in this Medicare group
NPI 1699875724 (580) 765-2501

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

SMITH PODIATRIC SERVICES PLLC
Podiatrist (Foot & Ankle Surgery)
1627 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 275-8234
DR. WILLIAM KEITH SMITH JR. DPM
Podiatrist (Foot & Ankle Surgery)
1627 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 275-8234
FOOT & ANKLE SURGEONS OF OKLAHOMA PLLC
Podiatrist (Foot & Ankle Surgery)
1627 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 418-4500

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 William Smith's NPI number?

The NPI number for William Smith is 1629050364. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is William Smith located?

William Smith practices at 1627 N Kickapoo Ave, Shawnee, OK 74804. The listed phone number is (405) 275-8234.

What is William Smith's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is William Smith enrolled in Medicare?

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

Which organizations bill Medicare for William Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Smith reassigns Medicare benefits to 2 organizations: Prairie Gardens Medical LLC (Oklahoma City, OK) and White Eagle Health Center (Ponca City, OK). 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 William 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 William Smith was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.