JUSTIN DAVID SMITH M.D.
NPI 1215316294
Pediatrics - Pediatric Critical Care Medicine in Rochester, NY

Q: What is Justin Smith's NPI number?

The NPI number for Justin Smith is 1215316294. It was assigned to this individual provider in the NPPES registry on May 25, 2015.

Q: What is Justin Smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Justin Smith was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 25, 2015PECOS EnrolledAccepts Medicare Assignment

601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-8138 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2022, Aug 18, 2021 (2 updates tracked since 2021).

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About Justin David Smith M.d. NPPES

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

JUSTIN DAVID SMITH M.D. (NPI 1215316294) is an individual pediatric critical care medicine provider in Rochester, New York, licensed in New York (287364) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1215316294

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameJUSTIN DAVID SMITHCredential: M.D.

Location Address601 ELMWOOD AVERochester, NY 14642-0001

Mailing Address601 Elmwood Ave Box 635Rochester, NY 14642-0001 · (585) 275-8138

Phone(585) 275-8138

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2015

Enumeration DateMay 25, 2015

Last NPPES UpdateJune 28, 20232 updates tracked since enumeration

NPPES CertifiedJune 8, 2022

✔ NPI 1215316294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NY · 287364

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 4301114195 (MI)

601 ELMWOOD AVE, Rochester, NY 14642

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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

Justin David 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 ID7214332972

PECOS Enrollment IDI20220620001394

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.

CARIE E BRADT RPA-C

Physician Assistant

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-6070

DR. RITA DADIZ DO

Pediatrics (Neonatal-Perinatal Medicine)

601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642

Monroe County (585) 275-7787

DR. SCOTT ROSS SCHIFFMAN M.D.

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642

Monroe County (585) 275-1128

SARAH ANNE ROSSI FNP

Nurse Practitioner (Family)

601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642

Monroe County (585) 279-5100

JIMENA CUBILLOS MD

Urology (Pediatric Urology)

601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642

Monroe County (585) 275-3342

MRS. ANNE SCHERBERGER KEEFER RN NP

Nurse Practitioner (Adult Health)

601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642

Monroe County (585) 275-5307

SCOTT OVERHOLT DDS

Student in an Organized Health Care Education/Training Program

601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642

Monroe County (585) 275-7978

MS. SARAH L AVERILL MD

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-2100

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 Justin Smith's NPI number?

The NPI number for Justin Smith is 1215316294. It was assigned to this individual provider in the NPPES registry on May 25, 2015.

Where is Justin Smith located?

Justin Smith practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-8138.

What is Justin Smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Justin Smith enrolled in Medicare?

Yes. Justin 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 Justin Smith was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.