DR. KYLE CLARK SMITH MD
NPI 1407376106
Family Medicine in Roseville, CA
About Dr. Kyle Clark Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE CLARK SMITH MD (NPI 1407376106) is an individual family medicine provider in Roseville, California, licensed in California (A157640) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2017).
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 and accepts Medicare assignment
Dr. Kyle Clark Smith Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kyle Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roseville, CA 95678
- Reassigned Medicare billing, California enrollment
Lincoln, CA 95648
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Sutter Valley Medical Foundation
- 3,056 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.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95678 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kyle Smith's NPI number?
The NPI number for Kyle Smith is 1407376106. It was assigned to this individual provider in the NPPES registry on June 23, 2017.
Where is Kyle Smith located?
Kyle Smith practices at 951 Reserve Dr Ste 100, Roseville, CA 95678. The listed phone number is (916) 800-0321.
What is Kyle Smith's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kyle Smith enrolled in Medicare?
Yes. Kyle 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.
Which organizations bill Medicare for Kyle Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Smith reassigns Medicare benefits to 3 organizations: Smith Family Medicine (Roseville, CA), Eric L Ellis MD Inc (Lincoln, CA) and Sutter Medical Foundation (Sacramento, CA). 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 Kyle 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 Kyle Smith was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Kyle Clark Smith, MD · NPI 1407376106
Family Medicine physician in Roseville, California. Individual provider, active in the CMS NPPES registry since June 23, 2017.
## Identity
- **NPI:** 1407376106 (Entity type: Individual)
- **Enumerated:** June 23, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A157640 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 951 RESERVE DR STE 100, Roseville, CA 95678-1352
- **Phone:** (916) 800-0321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Smith Family Medicine (NPI 1184596207, Roseville, CA); Eric L Ellis MD Inc (NPI 1386118305, Lincoln, CA); Sutter Medical Foundation (NPI 1942524095, Sacramento, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 2017
## Record status
- **NPPES last updated:** March 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407376106) · Data from the CMS NPPES public registry.