ELIZABETH R SMITH MD
NPI 1336239961
Pediatrics in Salt Lake City, UT
About Elizabeth R Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH R SMITH MD (NPI 1336239961) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (5211287-1205) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth R Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84113
- Reassigned Medicare billing, Utah enrollment
- 751 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 84115 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH SALT LAKE, UT 84115
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 Elizabeth Smith's NPI number?
The NPI number for Elizabeth Smith is 1336239961. It was assigned to this individual provider in the NPPES registry on October 13, 2006.
Where is Elizabeth Smith located?
Elizabeth Smith practices at 3690 S Main St, Salt Lake City, UT 84115. The listed phone number is (801) 464-8929.
What is Elizabeth Smith's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Elizabeth Smith enrolled in Medicare?
Yes. Elizabeth Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Smith reassigns Medicare benefits to University Of Utah Pediatric Services (Salt Lake City, UT). 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 Elizabeth Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Smith accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Elizabeth Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elizabeth Smith was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Elizabeth R Smith, MD · NPI 1336239961
Pediatrics physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1336239961 (Entity type: Individual)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 5211287-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 3690 S MAIN ST, Salt Lake City, UT 84115-4423
- **Phone:** (801) 464-8929
## 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:** University Of Utah Pediatric Services (NPI 1023472594, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1336239961) · Data from the CMS NPPES public registry.