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MS. TRACY MARIE SMITH PA-C
NPI 1609109024
Physician Assistant - Medical in Philadelphia, PA

Active since September 16, 2009PECOS Enrolled
4190 CITY AVE, SUITE 528, PHILADELPHIA, PA 19131(866) 453-8800(844) 734-7689 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Tracy Marie Smith Pa-c NPPES

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

MS. TRACY MARIE SMITH PA-C (NPI 1609109024) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA054091) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609109024
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. TRACY MARIE SMITHCredential: PA-C
Location Address4190 CITY AVE, SUITE 528Philadelphia, PA 19131-1626
Mailing Address260 Calle CampesinoSan Clemente, CA 92672-4553 · (949) 366-1053 · Fax (949) 544-7880
Phone(866) 453-8800
Fax(844) 734-7689
Sole ProprietorNo
Enumeration DateSeptember 16, 2009
Last NPPES UpdateSeptember 14, 2015
✔ NPI 1609109024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in PA · MA054091✔ Licensed in CA · PA21436
4190 CITY AVE, Philadelphia, PA 19131
Open in Google Maps ↗

Other Names 1

Former Name (1)Tracy Marie Lazur Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tracy Marie Smith Pa-c 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims36 services$6.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims12 services$1.13 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers13 claims2,589 services$0.03 avg. paid by Medicare
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims1,848 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers23 claims23 services$21.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ZEEL HEMANTBHAI PATEL M.B.B.S
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6690
DR. LAUREN NOTO BELL D.O.
Neuromusculoskeletal Medicine & OMM
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6425
DR. ANDREW JOSEPH SZABO D.O.
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6690
DR. STEPHEN CHARLES SIZER D.O.
Orthopaedic Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6693
DR. SVETLANA FELDMAN
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6693
MAREN LEIGH DOWNING DO
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (803) 587-9327
ENT R NET, P A
Otolaryngology
4190 CITY AVE, SUITE 526
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-0060
DR. LEE ANN BRODZIK D.O.
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-1800

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 Tracy Smith's NPI number?

The NPI number for Tracy Smith is 1609109024. It was assigned to this individual provider in the NPPES registry on September 16, 2009. The provider is also known as Tracy Marie Lazur Pa-C.

Where is Tracy Smith located?

Tracy Smith practices at 4190 City Ave Suite 528, Philadelphia, PA 19131. The listed phone number is (866) 453-8800.

What is Tracy Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tracy Smith enrolled in Medicare?

Yes. Tracy Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracy Smith was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.