HANNAH SMITH MD
NPI 1104763457
Student in an Organized Health Care Education/Training Program in Livonia, MI

Q: What is Hannah Smith's NPI number?

The NPI number for Hannah Smith is 1104763457. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Q: What is Hannah Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hannah Smith was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 04, 2026PECOS Enrolled

19000 ST JOES PKWY STE 310, LIVONIA, MI 48152(734) 743-4540 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Hannah Smith Md NPPES

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

HANNAH SMITH MD (NPI 1104763457) is an individual student in an organized health care education/training program in Livonia, Michigan, licensed in Michigan (4351055821) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104763457

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameHANNAH SMITHCredential: MD

Location Address19000 ST JOES PKWY STE 310Livonia, MI 48152-1477

Mailing Address205 Pioneer AveJohnson City, TN 37604-1619 · (601) 504-5462

Phone(734) 743-4540

Sole ProprietorNo

Enumeration DateMay 4, 2026

NPPES CertifiedMay 3, 2026

✔ NPI 1104763457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code390200000X

License✔ Licensed in MI · 4351055821

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.

19000 ST JOES PKWY STE 310, Livonia, MI 48152

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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 (PECOS)

Hannah Smith Md 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.

RICHARD GERARD LEWANDOWSKI JR. DO

Student in an Organized Health Care Education/Training Program