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KELLY GHISLAINE SMITH M.D.
NPI 1164955498
Obstetrics & Gynecology in Pomona, CA

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
160 E ARTESIA ST STE 330, POMONA, CA 91767(909) 622-5654(909) 622-4914 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Ghislaine Smith M.d. NPPES

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

KELLY GHISLAINE SMITH M.D. (NPI 1164955498) is an individual obstetrics & gynecology provider in Pomona, California, licensed in California (A172901) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Florida International Univ, College Of Medicine (2017).

NPPES Registry Identity

NPI1164955498
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKELLY GHISLAINE SMITHCredential: M.D.
Location Address160 E ARTESIA ST STE 330Pomona, CA 91767-2922
Mailing Address160 E Artesia St Ste 330Pomona, CA 91767-2922 · (909) 622-5654 · Fax (909) 622-4914
Phone(909) 622-5654
Fax(909) 622-4914
Sole ProprietorYes
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateJuly 22, 2021
NPPES CertifiedJuly 20, 2021
✔ NPI 1164955498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A172901
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
160 E ARTESIA ST STE 330, Pomona, CA 91767
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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

Kelly Ghislaine Smith M.d. 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 ID143613398
PECOS Enrollment IDI20220210001144
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 4

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

MAGGIE PHAM D.O.
Obstetrics & Gynecology (Obstetrics)
160 E ARTESIA ST STE 330
POMONA, CA 91767
Los Angeles County (909) 622-5654
MARIA SIU D.O.
Obstetrics & Gynecology
160 E ARTESIA ST STE 330
POMONA, CA 91767
Los Angeles County (909) 622-5654
DR. SIMMI P. DHALIWAL M.D.
Obstetrics & Gynecology
160 E ARTESIA ST STE 330
POMONA, CA 91767
Los Angeles County (909) 622-5654
MARIA SIU APC
Obstetrics & Gynecology
160 E ARTESIA ST STE 330
POMONA, CA 91767
Los Angeles County (909) 622-5654

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 Kelly Smith's NPI number?

The NPI number for Kelly Smith is 1164955498. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Kelly Smith located?

Kelly Smith practices at 160 E Artesia St Ste 330, Pomona, CA 91767. The listed phone number is (909) 622-5654.

What is Kelly Smith's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kelly Smith enrolled in Medicare?

Yes. Kelly 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 Kelly Smith was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.