Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Gerald Smith, MD

Individual provider Surgery Physician · NPI 1154327534

Dr. Kenneth Gerald Smith, MD is a General Surgery in Saint Louis, Missouri. Graduated from Southern Illinois University School of Medicine in 1993, 33 years ago. Practices with Mercy Clinic Surgical Specialists LLC, a 180-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
33
Trained at
Southern Illinois University School of Medicine
Licensed in
MO
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10012 Kennerly Rd Ste 406
Saint Louis, MO 63128-2197
Phone: (314) 525-1224
Fax: (314) 525-4957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 116081 (MO)

Record details

NPI number1154327534
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Mercy Clinic Surgical Specialists Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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