ROLAND THEODORE SMITH M.D.
NPI 1174543029
Ophthalmology in New York, NY
About Roland Theodore Smith M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROLAND THEODORE SMITH M.D. (NPI 1174543029) is an individual ophthalmology provider in New York, New York, licensed in New York (151173-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ny Eye And Ear Infirmary Of Mount Sinai, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1981).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Roland Theodore 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.
Medicare Billing Reassignment
Medicare enrollment records show Roland Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 155 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ny Eye And Ear Infirmary Of Mount Sinai
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Roland Smith's NPI number?
The NPI number for Roland Smith is 1174543029. It was assigned to this individual provider in the NPPES registry on July 20, 2006.
Where is Roland Smith located?
Roland Smith practices at 635 W 165th St Box 92, New York, NY 10032. The listed phone number is (212) 283-5222.
What is Roland Smith's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Roland Smith enrolled in Medicare?
Yes. Roland 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.
Which organization bills Medicare for Roland Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roland Smith reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). The 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 Roland Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Roland Smith affiliated with any hospitals?
According to CMS data, Roland Smith is affiliated with Ny Eye And Ear Infirmary Of Mount Sinai.
When was this NPI record last updated?
The NPPES record for Roland Smith was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Roland Theodore Smith, M.D. · NPI 1174543029
Ophthalmology physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 20, 2006.
## Identity
- **NPI:** 1174543029 (Entity type: Individual)
- **Enumerated:** July 20, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 151173-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 635 W 165TH ST, BOX 92, New York, NY 10032-3724
- **Phone:** (212) 283-5222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Icahn School Of Medicine At Mount Sinai (NPI 1437421252, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albert Einstein College Of Medicine Of Yeshiva University, class of 1981
## Record status
- **NPPES last updated:** May 9, 2013
- **Other identifiers:** Medicare UPIN A64639; Medicare PIN A400065650 (NY); Medicaid 01113964 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1174543029) · Data from the CMS NPPES public registry.