JOHN KOLTON SMITH DO
NPI 1376120725
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
100 E 77TH ST, NEW YORK, NY 10075(212) 434-2140 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2025, Mar 24, 2021 (2 updates tracked since 2021).

About John Kolton Smith Do NPPES

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

JOHN KOLTON SMITH DO (NPI 1376120725) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2021).

NPPES Registry Identity

NPI1376120725
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN KOLTON SMITHCredential: DO
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address5079 April LnWaxahachie, TX 75165-8706
Sole ProprietorYes
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1376120725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedInternal MedicineTaxonomy 207R00000X · License V5606 (TX)
100 E 77TH ST, New York, NY 10075

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

John Kolton Smith Do 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 ID2860937802
PECOS Enrollment IDI20250321000116
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.

Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075

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 John Smith's NPI number?

The NPI number for John Smith is 1376120725. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is John Smith located?

John Smith practices at 100 E 77th St, New York, NY 10075. The listed phone number is (212) 434-2140.

What is John 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 John Smith enrolled in Medicare?

Yes. John 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 John Smith was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.