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

Kenneth Sanders Smith Jr., MD

Individual provider Orthopaedic Surgery Physician · NPI 1952746521

Kenneth Sanders Smith Jr., MD is an Orthopedic Surgery in Saint Louis, Missouri. Graduated from University of Alabama School of Medicine in 2013, 13 years ago. Practices with Signature Medical Group Inc, a 40-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Missouri.

Years since qualifying
13
Trained at
University of Alabama School of Medicine
Licensed in
CO, MO
In the registry since
2013
Specialties on file
2
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

12639 Old Tesson Rd Ste 115
Saint Louis, MO 63128-2786
Phone: (314) 849-0311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 121 Saint Lukes Center Dr Ste 100, Chesterfield, MO 63017-3518 — (314) 849-0311
  • 1011 Bowles Ave Ste 100, Fenton, MO 63026-2387 — (314) 849-0311

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 2019013302 (MO)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence DR.0060799 (CO)

Record details

NPI number1952746521
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2013
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Signature Medical Group Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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