MARK ALLAN SMITH, M.D., PC
NPI 1104654284
Radiology - Diagnostic Radiology in Birmingham, AL
About Mark Allan Smith, M.d., Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK ALLAN SMITH, M.D., PC (NPI 1104654284) is a healthcare organization registered as a diagnostic radiology in Birmingham, Alabama and active in the NPI registry since July 2024. The organization lists Mark Allan Smith, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark Allan Smith, M.d., Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark Allan Smith, M.D., PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mark Allan Smith, M.D., PC's NPI number?
The NPI number for Mark Allan Smith, M.D., PC is 1104654284. It was assigned to this organization in the NPPES registry on July 22, 2024.
Where is Mark Allan Smith, M.D., PC located?
Mark Allan Smith, M.D., PC is located at 800 Shades Creek Pkwy Ste 300, Birmingham, AL 35209. The listed phone number is (515) 421-7565.
What is Mark Allan Smith, M.D., PC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Mark Allan Smith, M.D., PC enrolled in Medicare?
Yes. Mark Allan Smith, M.D., PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mark Allan Smith, M.D., PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Mark Allan Smith, M.D., PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mark Allan Smith, M.D., PC was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Mark Allan Smith, M.d., Pc · NPI 1104654284
Diagnostic Radiology organization in Birmingham, Alabama. Organization record, active in the CMS NPPES registry since July 22, 2024.
## Identity
- **NPI:** 1104654284 (Entity type: Organization)
- **Enumerated:** July 22, 2024
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Mark Smith, CEO
## Practice location
- **Address:** 800 SHADES CREEK PKWY STE 300, Birmingham, AL 35209-4544
- **Phone:** (515) 421-7565
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104654284) · Data from the CMS NPPES public registry.