ROBERTA SMITH DO
NPI 1396700191
Pathology - Anatomic Pathology & Clinical Pathology in Philadelphia, PA

NPI Status: Active since April 18, 2006

Contact Information

333 COTTMAN AVE
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 728-3675

Get Directions Write a Review

  • Individual
  • Female
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • PECOS Enrolled

About ROBERTA SMITH

This page provides the complete NPI Profile along with additional information for Roberta Smith, a provider established in Philadelphia, Pennsylvania with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1396700191 assigned on April 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number MD05004674L (PA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1396700191
Provider Name
ROBERTA SMITH DO
Gender
Female
Entity Type
Individual
Location Address
333 COTTMAN AVE PHILADELPHIA, PA 19111
Location Phone
(215) 728-3675
Mailing Address
2450 W HUNTING PARK AVE PHILADELPHIA, PA 19129
Mailing Phone
(215) 728-2040
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
04-18-2006
Last Update Date
04-12-2018
Code Navigator

Location Map

Secondary Locations

  • 7600 Central Avenue
    Philadelphia, PA 19111
    (215) 728-2040

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
MD05004674L
License State
PA
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0015097230005MEDICAID (05)PA 

Medicare Participation & PECOS Enrollment Status

Roberta Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cell examination of specimen, selective cellular enhancement technique

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

This service was performed 46 times for 42 patients

Microscopic genetic analysis of tumor, manual

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

This service was performed 42 times for 12 patients

Pathology examination of tissue using a microscope

A pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.

This service was performed 20 times for 20 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 982 times for 517 patients

Pathology examination of tissue using a microscope, moderately high complexity

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

This service was performed 73 times for 50 patients

Pathology examination of tissue using a microscope, moderately low complexity

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

This service was performed 74 times for 66 patients

Preparation of tissue for examination by removing any calcium present

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

This service was performed 52 times for 38 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 94 times for 25 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 220 times for 173 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19111 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $137.17
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $34.29
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for ROBERTA SMITH DO

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396700191, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 4 + 0 + 0 + 1 + 1 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1396700191.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Internal Medicine (Gastroenterology)
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Internal Medicine (Medical Oncology)
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Internal Medicine (Medical Oncology)
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Surgery (Surgical Oncology)
333 COTTMAN AVE, SURGICAL ONCOLOGY ASSOCIATES OF FCCC
PHILADELPHIA, PA 19111
Nurse Practitioner
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Internal Medicine (Medical Oncology)
333 COTTMAN AVE, MEDICAL ONCOLOGY ASSOC OF FCCC
PHILADELPHIA, PA 19111
Internal Medicine
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Specialist
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Radiology (Diagnostic Radiology)
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Radiology (Diagnostic Radiology)
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Internal Medicine (Medical Oncology)
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Radiology (Diagnostic Radiology)
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Specialist
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Internal Medicine (Medical Oncology)
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Internal Medicine (Medical Oncology)
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Special Hospital
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Specialist
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Internal Medicine
333 COTTMAN AVE, INTERNAL MEDICINE ASSOC OF FCCC
PHILADELPHIA, PA 19111
Internal Medicine (Pulmonary Disease)
333 COTTMAN AVE, PULMONARY ASSOCOCIATES OF FCCC
PHILADELPHIA, PA 19111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396700191, enumerated as an "individual" on April 18, 2006.

The provider is located at 333 COTTMAN AVE PHILADELPHIA, PA 19111 and the phone number is (215) 728-3675.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.