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MASON BART SMITH
NPI 1063266997
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since April 16, 2024PECOS Enrolled
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mason Bart Smith NPPES

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

MASON BART SMITH (NPI 1063266997) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in St George.

NPPES Registry Identity

NPI1063266997
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMASON BART SMITH
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address772 N Dixie Dr Ste 101St George, UT 84770-7444 · (436) 628-0511
Phone(203) 688-4242
Sole ProprietorNo
Enumeration DateApril 16, 2024
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1063266997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 14251849-9926 (UT)
20 YORK ST, New Haven, CT 06510
Open in Google Maps ↗

Secondary Practice Location 1

Location 1772 N Dixie Dr Ste 101St George, UT 84770-7444 · Phone (435) 628-0511

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mason Bart Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

AUDREY P SENIOR APRN
Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5860
DR. YEISID F FIGUEREDO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2320
YALE NEW HAVEN HOSPITAL
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2046
TAYLOR KINGSTON
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9185
DR. TRAVIS DANIEL BONTRAGER MD
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
NEEHARIKA THOTTEMPUDI MBBS
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
TERESA JOSEPH D.O.
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-8894
MR. BRAD ST. MARTIN MD
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242

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 Mason Smith's NPI number?

The NPI number for Mason Smith is 1063266997. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Mason Smith located?

Mason Smith practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Mason Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mason Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mason Smith was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.