KAYLA DEMI SMITH MD
NPI 1245812171
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since April 21, 2021PECOS EnrolledAccepts Medicare Assignment
267 GRANT ST, BRIDGEPORT, CT 06610(203) 384-3990 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kayla Demi Smith Md NPPES

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

KAYLA DEMI SMITH MD (NPI 1245812171) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Pine Ridge Ihs Hospital, and is a graduate of Howard University College Of Medicine (2021).

NPPES Registry Identity

NPI1245812171
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAYLA DEMI SMITHCredential: MD
Location Address267 GRANT STBridgeport, CT 06610-2805
Mailing Address267 Grant StBridgeport, CT 06610-2805 · (203) 384-3990
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2021
Enumeration DateApril 21, 2021
NPPES CertifiedApril 20, 2021
NPI 1245812171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
267 GRANT ST, Bridgeport, CT 06610

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

Kayla Demi Smith Md 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 ID8123429750
PECOS Enrollment IDI20250915000517
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pine Ridge Ihs Hospital

Acute Care Hospitals · Pine Ridge, SD
OwnershipGovernment - Federal
CMS Certification Number430098
LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County
Emergency services Birthing friendly

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.

Physician Assistant (Surgical)
267 GRANT ST
BRIDGEPORT, CT 06610
Nurse Practitioner (Psychiatric/Mental Health)
267 GRANT ST
BRIDGEPORT, CT 06610
Anesthesiology (Pain Medicine)
267 GRANT ST
BRIDGEPORT, CT 06610
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Physical Therapy Assistant
267 GRANT ST
BRIDGEPORT, CT 06610
Nurse Practitioner (Pediatrics)
267 GRANT ST
BRIDGEPORT, CT 06610
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610

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 Kayla Smith's NPI number?

The NPI number for Kayla Smith is 1245812171. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Kayla Smith located?

Kayla Smith practices at 267 Grant St, Bridgeport, CT 06610. The listed phone number is (203) 384-3990.

What is Kayla Smith's specialty?

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

Is Kayla Smith enrolled in Medicare?

Yes. Kayla 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.

Is Kayla Smith affiliated with any hospitals?

According to CMS data, Kayla Smith is affiliated with Pine Ridge Ihs Hospital.

When was this NPI record last updated?

The NPPES record for Kayla Smith was last updated on April 21, 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.