ALYSSA JANE SMITH MD
NPI 1558892109
Otolaryngology - Pediatric Otolaryngology in Palo Alto, CA

Q: What is the provider's specialty?

The provider's specialty is Otolaryngology with taxonomy code 207YP0228X and a focus in Pediatric Otolaryngology.

Active since March 24, 2017PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 1, 2025, May 25, 2023, Jan 20, 2023 and 4 more (7 updates tracked since 2017).

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About Alyssa Jane Smith Md NPPES

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

ALYSSA JANE SMITH MD (NPI 1558892109) is an individual pediatric otolaryngology provider in Palo Alto, California, licensed in California (A202430) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1558892109

Entity TypeIndividualFemale

Primary Taxonomy207YP0228X

Provider Legal NameALYSSA JANE SMITHCredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Enumeration DateMarch 24, 2017

Last NPPES UpdateJuly 1, 20257 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1558892109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207YP0228X

Licenses✔ Licensed in CA · A202430✔ Licensed in KY · TP439✔ Licensed in KY · 58004

Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License A202430 (CA), TP439 (KY), 58004 (KY)

725 WELCH RD, Palo Alto, CA 94304

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Secondary Practice Location 1

Location 1740 S Limestone Ste B300Lexington, KY 40536-0001 · Phone (859) 257-5405 · Fax (859) 323-5483

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Jane Smith Md 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.