KENNETH B SMITH M.D.
NPI 1801822747
Internal Medicine in Washington, MO
About Kenneth B Smith M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH B SMITH M.D. (NPI 1801822747) is an individual internal medicine provider in Washington, Missouri, licensed in Missouri (R7025) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth B Smith M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wildwood, MO 63040
- Reassigned Medicare billing, Missouri enrollment
- 228 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.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WASHINGTON, MO 63090
WASHINGTON, MO 63090
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 Kenneth Smith's NPI number?
The NPI number for Kenneth Smith is 1801822747. It was assigned to this individual provider in the NPPES registry on June 23, 2006.
Where is Kenneth Smith located?
Kenneth Smith practices at 901 Patients First Dr, Washington, MO 63090. The listed phone number is (636) 239-7500.
What is Kenneth Smith's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kenneth Smith enrolled in Medicare?
Yes. Kenneth Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kenneth Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Smith reassigns Medicare benefits to Mercy Clinic East Communities (Wildwood, MO). The 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 Kenneth 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 Kenneth Smith was last updated on February 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kenneth B Smith, M.D. · NPI 1801822747
Internal Medicine physician in Washington, Missouri. Individual provider, active in the CMS NPPES registry since June 23, 2006.
## Identity
- **NPI:** 1801822747 (Entity type: Individual)
- **Enumerated:** June 23, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** R7025 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 PATIENTS FIRST DR, Washington, MO 63090-4700
- **Phone:** (636) 239-7500 · **Fax:** (636) 239-2836
## 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:** Mercy Clinic East Communities (NPI 1164857397, Wildwood, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2015
- **Other identifiers:** Medicare UPIN A09811; Medicare PIN 152810063 (MO); Other 110166321; and 3 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1801822747) · Data from the CMS NPPES public registry.