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PHILIP SMITH RD
NPI 1033936505
Dietitian, Registered in Oswego, NY

Active since September 25, 2024Accepts Medicare Assignment
110 W 6TH ST, OSWEGO, NY 13126(315) 349-5511 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Sep 25, 2024 (2 updates tracked since 2024).

About Philip Smith Rd NPPES

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

PHILIP SMITH RD (NPI 1033936505) is an individual dietitian, registered in Oswego, New York, licensed in New York (012347) and active in the NPI registry since September 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1033936505
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NamePHILIP SMITHCredential: RD
Location Address110 W 6TH STOswego, NY 13126-2507
Mailing Address8513 Bayridge RdCicero, NY 13039-9234
Phone(315) 349-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 25, 2024
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1033936505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 012347
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
110 W 6TH ST, Oswego, NY 13126
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philip Smith Rd 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 ID7113447400
PECOS Enrollment IDI20250217002050

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13126 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
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

REHAB RESOURCES
General Acute Care Hospital
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
RHONALDO AGUNG SILABAN MD
Emergency Medicine
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
MRS. AMIE ELLENE JOHNSON CRNA
Nurse Anesthetist, Certified Registered
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
MISS TAMMY ELIZABETH ENGLE N.P.
Nurse Practitioner (Adult Health)
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
MARIE REYES-JULIAN PT
Physical Therapist
110 W 6TH ST, 140
OSWEGO, NY 13126
Oswego County (315) 349-5558
MR. WAI-CHEUK RICHARD KUNG PT
Physical Therapist
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5558
DR. MARK K JACKSON M.D.
Radiology (Diagnostic Radiology)
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5000
PHYSICIAN CARE PC
Internal Medicine
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511

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 Philip Smith's NPI number?

The NPI number for Philip Smith is 1033936505. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Philip Smith located?

Philip Smith practices at 110 W 6th St, Oswego, NY 13126. The listed phone number is (315) 349-5511.

What is Philip Smith's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Philip Smith enrolled in Medicare?

Yes. Philip 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.

When was this NPI record last updated?

The NPPES record for Philip Smith was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.