DR. DAVID MICHAEL TULLY-SMITH M.D.
NPI 1598890287
Family Medicine in San Rafael, CA
About Dr. David Michael Tully-smith M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID MICHAEL TULLY-SMITH M.D. (NPI 1598890287) is an individual family medicine provider in San Rafael, California, licensed in California (G30229) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 24, 2027, and is a graduate of University Of California, San Francisco School Of Medicine (1974).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Dr. David Michael Tully-smith M.d. 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D1097391
David M Tully-Smith, MD, A Medical Corporation Dba Mill Valley Medical · San Rafael, CAAreas of Expertise CMS Part B claims 6
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 94901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 David Tully-smith's NPI number?
The NPI number for David Tully-smith is 1598890287. It was assigned to this individual provider in the NPPES registry on February 22, 2007.
Where is David Tully-smith located?
David Tully-smith practices at 711 D St Suite 111, San Rafael, CA 94901. The listed phone number is (415) 453-3030.
What is David Tully-smith's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David Tully-smith enrolled in Medicare?
Yes. David Tully-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.
Does David Tully-smith hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1097391) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for David Tully-smith was last updated on November 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.
