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

Keith Douglas Smart, DO

Individual provider Internal Medicine Physician · NPI 1164809067

Keith Douglas Smart, DO is an Internal Medicine in Grand Rapids, Michigan. Qualified in 2009, 17 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 391-3139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2900 W Oklahoma Ave, Milwaukee, WI 53215 — (414) 649-6000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101024449 (MI)

Record details

NPI number1164809067
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 29, 2015
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 10, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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