KENNETH M SMITH MD
NPI 1982807350
Urology in Glencoe, MN
About Kenneth M Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH M SMITH MD (NPI 1982807350) is an individual urology provider in Glencoe, Minnesota, licensed in Minnesota (19785) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth M Smith Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kenneth Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glencoe, MN 55336
- Reassigned Medicare billing, Minnesota enrollment
- 95 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ridgeview Medical Center
Acute Care Hospitals · Waconia, MNGlencoe Regional Health
Critical Access Hospitals · Glencoe, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55336 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
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.
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 1982807350. It was assigned to this individual provider in the NPPES registry on June 6, 2007.
Where is Kenneth Smith located?
Kenneth Smith practices at 1805 Hennepin Ave N, Glencoe, MN 55336. The listed phone number is (320) 864-3121.
What is Kenneth Smith's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Kenneth Smith enrolled in Medicare?
Yes. Kenneth Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kenneth Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Smith reassigns Medicare benefits to 2 organizations: Glencoe Regional Health Services (Glencoe, MN) and Group Health, Inc. (St Louis Park, MN). 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 Kenneth Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Smith accept?
Health plans from Sanford Health Plan list Kenneth 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.
Is Kenneth Smith affiliated with any hospitals?
According to CMS data, Kenneth Smith is affiliated with Ridgeview Medical Center and Glencoe Regional Health.
When was this NPI record last updated?
The NPPES record for Kenneth Smith was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 M Smith, MD · NPI 1982807350
Urology physician in Glencoe, Minnesota. Individual provider, active in the CMS NPPES registry since June 6, 2007.
## Identity
- **NPI:** 1982807350 (Entity type: Individual)
- **Enumerated:** June 6, 2007
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 19785 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1805 HENNEPIN AVE N, Glencoe, MN 55336-1416
- **Phone:** (320) 864-3121 · **Fax:** (320) 864-7892
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Glencoe Regional Health Services (NPI 1508885633, Glencoe, MN); Group Health, Inc. (NPI 1053466128, St Louis Park, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2003
## Record status
- **NPPES last updated:** February 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1982807350) · Data from the CMS NPPES public registry.