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

Dr. Kristy Marie Smith, MD

Individual provider Emergency Medicine Physician · NPI 1174752547

Dr. Kristy Marie Smith, MD is an Emergency Medicine in Warren, Michigan. Qualified in 2009, 17 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
17
Licensed in
IN, MI
In the registry since
2009
Specialties on file
3
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

28800 Ryan Rd Ste 120
Warren, MI 48092-4272
Phone: (586) 558-2860
Fax: (586) 558-4624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 4301095192 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301095192 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01093465A (IN)

Record details

NPI number1174752547
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2009
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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