STACEYANN SMITH M.D., MPH
NPI 1386024370
Pediatrics in Bronx, NY

Q: What is Staceyann Smith's NPI number?

The NPI number for Staceyann Smith is 1386024370. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Q: What is Staceyann Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Staceyann Smith was last updated on July 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2015PECOS Enrolled

3444 KOSSUTH AVE, BRONX, NY 10467(718) 920-5271(718) 652-5707 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Staceyann Smith M.d., Mph NPPES

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

STACEYANN SMITH M.D., MPH (NPI 1386024370) is an individual pediatrics provider in Bronx, New York, licensed in New York (294338) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1386024370

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSTACEYANN SMITHCredential: M.D., MPH

Location Address3444 KOSSUTH AVEBronx, NY 10467-2410

Mailing Address3444 Kossuth AveBronx, NY 10467-2410 · (718) 920-5271 · Fax (718) 652-5707

Phone(718) 920-5271

Fax(718) 652-5707

Sole ProprietorNo

Enumeration DateJune 4, 2015

Last NPPES UpdateJuly 15, 2019

✔ NPI 1386024370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 294338

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT209229 (PA)

3444 KOSSUTH AVE, Bronx, NY 10467

Open in Google Maps ↗

Secondary Practice Location 1

Location 1160 E Erie AvePhiladelphia, PA 19134-1011 · Phone (215) 427-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Staceyann Smith M.d., Mph 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 10467 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Leave this field empty