Mr Kenneth A Smith, MD - Internal Medicine in Fort Wayne, IN

Mr Kenneth A Smith, MD is a Internal Medicine - Rheumatology physician based in Fort Wayne, Indiana. Mr Kenneth A Smith is licensed to practice in Indiana (license number 01022346) and his current practice location is 1234 East Dupont Road, Suite 5, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 489-1666.

NPI number for Mr Kenneth A Smith is 1003907304 and his current mailing address is 1234 East Dupont Road, Suite 1, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003907304.

Contact Information

Mr Kenneth A Smith, MD
1234 East Dupont Road, Suite 5,
Fort Wayne, IN 46825
(260) 489-1666
(260) 489-3255

Map and Direction




Physician's Profile

Full NameMr Kenneth A Smith
GenderMale
SpecialityInternal Medicine - Rheumatology
Location1234 East Dupont Road, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003907304
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 08/03/2012

Medical Identifiers

Medical identifiers for Mr Kenneth A Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003907304NPI-NPPES
100108770AMedicaidIN
000000006713OtherM PLAN
000000637485OtherINANTHEM
4351567OtherAETNA
1866OtherPHP
200092670MedicaidIN
P00786840OtherINR.R. MEDICARE
000000206530OtherANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 01022346 (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth A Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kenneth A Smith, MD
1234 East Dupont Road, Suite 1,
Fort Wayne, IN 46825

Ph: (260) 373-9728
Mr Kenneth A Smith, MD
1234 East Dupont Road, Suite 5,
Fort Wayne, IN 46825

Ph: (260) 489-1666

Reviews and Comments


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