1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Pediatrics
  6. NPI Profile

DR. NATHAN W SMITH MD
NPI 1013594076
Pediatrics in Bronx, NY

Active since March 25, 2021PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: December 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 29, 2024, Mar 25, 2021 (2 updates tracked since 2021).

About Dr. Nathan W Smith Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NATHAN W SMITH MD (NPI 1013594076) is an individual pediatrics provider in Bronx, New York, licensed in New York (333910-01) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013594076
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. NATHAN W SMITHCredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address25 Williams Blvd Apt 2fLake Grove, NY 11755-3519 · (804) 387-3598
Phone(718) 920-4321
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateDecember 29, 20242 updates tracked since enumeration
NPPES CertifiedDecember 29, 2024
✔ NPI 1013594076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 333910-01
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
111 E 210TH ST, Bronx, NY 10467
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathan W Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557853371
PECOS Enrollment IDI20251119004365
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nathan Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Children's Service, University Faculty Practice Corporatio
40 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
JACK DANIEL HALLIGAN MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Smith's NPI number?

The NPI number for Nathan Smith is 1013594076. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Nathan Smith located?

Nathan Smith practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Nathan Smith's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nathan Smith enrolled in Medicare?

Yes. Nathan Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nathan Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Smith reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Smith was last updated on December 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.