1. Home
  2. Directory
  3. Maryland
  4. Waldorf
  5. Pediatrics
  6. NPI Profile

DR. NIKISHA HOLLY SMITH MD
NPI 1316147341
Pediatrics in Waldorf, MD

Active since July 18, 2007PECOS Enrolled
11315 PEMBROOKE SQ, SUITE 110, WALDORF, MD 20603(301) 645-6165(301) 843-7232 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nikisha Holly Smith Md NPPES

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

DR. NIKISHA HOLLY SMITH MD (NPI 1316147341) is an individual pediatrics provider in Waldorf, Maryland, licensed in Maryland (D0066277) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316147341
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. NIKISHA HOLLY SMITHCredential: MD
Location Address11315 PEMBROOKE SQ, SUITE 110Waldorf, MD 20603-4806
Mailing Address11315 Pembrooke Sq, Suite 110Waldorf, MD 20603-4806 · (301) 645-6165 · Fax (301) 843-7232
Phone(301) 645-6165
Fax(301) 843-7232
Sole ProprietorNo
Enumeration DateJuly 18, 2007
✔ NPI 1316147341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D0066277
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11315 PEMBROOKE SQ, Waldorf, MD 20603
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nikisha Holly Smith Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20603 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
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 3

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

DR. KANIKA HAMPTON BIPAT M.D.
Internal Medicine
11315 PEMBROOKE SQ, SUITE 111
WALDORF, MD 20603
Charles County (240) 252-2150
MRS. KIMBERLE LYNNE HOGGE PA-C
Physician Assistant
11315 PEMBROOKE SQ, SUITE 110
WALDORF, MD 20603
Charles County (301) 843-7232
MS. JENNENE DANIELS LCSW-C, BCD
Social Worker (Clinical)
11315 PEMBROOKE SQ, STE 112
WALDORF, MD 20603
Charles County (301) 638-5001

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 Nikisha Smith's NPI number?

The NPI number for Nikisha Smith is 1316147341. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Nikisha Smith located?

Nikisha Smith practices at 11315 Pembrooke Sq Suite 110, Waldorf, MD 20603. The listed phone number is (301) 645-6165.

What is Nikisha Smith's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nikisha Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nikisha Smith was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.