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DR. ANDREW GERALD SMITH M.D.
NPI 1033111810
Pediatrics - Pediatric Critical Care Medicine in Salt Lake City, UT

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-3673(801) 662-3664 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 12, 2024, Jun 22, 2017 (2 updates tracked since 2017).

About Dr. Andrew Gerald Smith M.d. NPPES

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

DR. ANDREW GERALD SMITH M.D. (NPI 1033111810) is an individual pediatric critical care medicine provider in Salt Lake City, Utah, licensed in Utah (5412561-1205) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2002).

NPPES Registry Identity

NPI1033111810
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. ANDREW GERALD SMITHCredential: M.D.
Location Address100 MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 413021, Department Of Pediatrics - Inpatient MedicineSalt Lake City, UT 84141-3021 · (801) 213-3900 · Fax (801) 585-3655
Phone(801) 662-3673
Fax(801) 662-3664
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2002
Enumeration DateAugust 11, 2005
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1033111810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in UT · 5412561-1205
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedLegal MedicineTaxonomy 173000000X · License TL3586 (ID)
Also ListedPediatricsTaxonomy 208000000X · License 5412561-1205 (UT)
100 MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Other Identifiers 1

Medicaid807219800ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Gerald Smith M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820022924
PECOS Enrollment IDI20100915000684
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 Reassignments

3

Medicare enrollment records show Andrew Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
Same address
Neonatal-Perinatal Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1497473375 (801) 442-5000
University Of Utah Pediatric Acuity Care
Same address
Pediatric Emergency Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 202 clinicians in this Medicare group
NPI 1538523675 (801) 587-6336
University Of Utah Pediatric Services
Same address
Pediatric Otolaryngology
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1063876100 (801) 587-6336

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

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.

KAITLIN CARPENTER
Pediatrics
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
DR. NICOLE JEFFREYS MD
Anesthesiology (Pediatric Anesthesiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3578
SARAH ZOBELL NP
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1619
MRS. GIOVANA MARTENDAL KING NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4100
DR. STEVEN SHI-FONG WU
Pediatrics (Pediatric Gastroenterology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2900
KRISTA SKYE VIAU MS, RD, CSP, CD
Dietitian, Registered (Nutrition, Metabolic)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-9590
MARY HUNT MARTIN MD
Pediatrics (Pediatric Cardiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5400
JANET ELLEN CRAIG NP
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-6807

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 Andrew Smith's NPI number?

The NPI number for Andrew Smith is 1033111810. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Andrew Smith located?

Andrew Smith practices at 100 Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-3673.

What is Andrew Smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Andrew Smith enrolled in Medicare?

Yes. Andrew Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrew Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Smith reassigns Medicare benefits to 3 organizations: Ihc Health Services Inc (Salt Lake City, UT), University Of Utah Pediatric Acuity Care (Salt Lake City, UT) and University Of Utah Pediatric Services (Salt Lake City, UT). Each 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 Andrew 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 Andrew Smith was last updated on December 12, 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.