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MR. MATTHEW RYAN SMITH PA-C
NPI 1144412362
Physician Assistant - Medical in Lutz, FL

Active since August 12, 2007PECOS Enrolled
21756 STATE ROAD 54 STE 102A, LUTZ, FL 33549(813) 493-4093(656) 444-7252 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Matthew Ryan Smith Pa-c NPPES

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

MR. MATTHEW RYAN SMITH PA-C (NPI 1144412362) is an individual medical provider in Lutz, Florida, licensed in Florida (PA9107760) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144412362
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MATTHEW RYAN SMITHCredential: PA-C
Location Address21756 STATE ROAD 54 STE 102ALutz, FL 33549-2905
Mailing Address2920 Bayshore Vista DrTampa, FL 33611-5510 · (813) 787-3347
Phone(813) 493-4093
Fax(656) 444-7252
Sole ProprietorYes
Enumeration DateAugust 12, 2007
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1144412362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9107760
21756 STATE ROAD 54 STE 102A, Lutz, FL 33549
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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)

Mr. Matthew Ryan Smith Pa-c 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEORGE R COMPANIONI M.D.
Orthopaedic Surgery
21756 STATE ROAD 54 STE 102A
LUTZ, FL 33549
Hillsborough County (813) 977-4767
TAMPA ORTHOPEDIC CLINIC,LLP
Orthopaedic Surgery
21756 STATE ROAD 54 STE 102A
LUTZ, FL 33549
Hillsborough County (813) 977-4767

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 Matthew Smith's NPI number?

The NPI number for Matthew Smith is 1144412362. It was assigned to this individual provider in the NPPES registry on August 12, 2007.

Where is Matthew Smith located?

Matthew Smith practices at 21756 State Road 54 Ste 102A, Lutz, FL 33549. The listed phone number is (813) 493-4093.

What is Matthew Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Matthew Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Smith was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.