DR. NIKISHA HOLLY SMITH MD
NPI 1316147341
Pediatrics in Waldorf, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nikisha Holly Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Nikisha Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Plata, MD 20646
- Reassigned Medicare billing, Maryland enrollment
- 966 clinicians in this Medicare group
Prince Frederick, MD 20678
- Reassigned Medicare billing, Maryland enrollment
- 71 clinicians in this Medicare group
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland enrollment
- 79 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.
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.
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.
WALDORF, MD 20603
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.
Which organizations bill Medicare for Nikisha Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nikisha Smith reassigns Medicare benefits to 3 organizations: University Of Maryland Community Medical Group, Inc. (La Plata, MD), Mdics At Calvert LLC (Prince Frederick, MD) and Baltimore Washington Emergency Physicians, Inc. (Glen Burnie, MD). Each 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 Nikisha Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Nikisha Holly Smith, MD · NPI 1316147341
Pediatrics physician in Waldorf, Maryland. Individual provider, active in the CMS NPPES registry since July 18, 2007.
## Identity
- **NPI:** 1316147341 (Entity type: Individual)
- **Enumerated:** July 18, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D0066277 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 11315 PEMBROOKE SQ, SUITE 110, Waldorf, MD 20603-4806
- **Phone:** (301) 645-6165 · **Fax:** (301) 843-7232
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Maryland Community Medical Group, Inc. (NPI 1679393854, La Plata, MD); Mdics At Calvert LLC (NPI 1033404207, Prince Frederick, MD); Baltimore Washington Emergency Physicians, Inc. (NPI 1215983853, Glen Burnie, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1316147341) · Data from the CMS NPPES public registry.