PAUL YO SMITHEDAJKUL DO
NPI 1609372549
Psychiatry & Neurology - Psychiatry in Las Vegas, NV

Q: What is Paul Smithedajkul's NPI number?

The NPI number for Paul Smithedajkul is 1609372549. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Q: What is Paul Smithedajkul's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Paul Smithedajkul was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 31, 2018PECOS Enrolled

1701 W CHARLESTON BLVD STE 290, LAS VEGAS, NV 89102(702) 671-5127 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 10, 2022, Mar 31, 2018 (2 updates tracked since 2018).

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About Paul Yo Smithedajkul Do NPPES

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

PAUL YO SMITHEDAJKUL DO (NPI 1609372549) is an individual psychiatry provider in Las Vegas, Nevada, licensed in Nevada (DO3154) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609372549

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NamePAUL YO SMITHEDAJKULCredential: DO

Location Address1701 W CHARLESTON BLVD STE 290Las Vegas, NV 89102-2302

Mailing Address3014 W Charleston Blvd Ste 130Las Vegas, NV 89102-0083

Phone(702) 671-5127

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 31, 2018

Last NPPES UpdateJune 10, 20222 updates tracked since enumeration

NPPES CertifiedJune 10, 2022

✔ NPI 1609372549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NV · DO3154

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1701 W CHARLESTON BLVD STE 290, Las Vegas, NV 89102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Yo Smithedajkul Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325396518

PECOS Enrollment IDI20220902000974

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.

Medicare Billing Reassignments

Medicare enrollment records show Paul Smithedajkul reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lisa A Durette MD PLLC

0.6 mi

Mental Health (Including Community Mental Health Center)

526 S TONOPAH DR STE 200
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
40 clinicians in this Medicare group

NPI 1235633421 (702) 440-8440

Stark Medicine Khurana Jeider PLLC

4.3 mi

Child & Adolescent Psychiatry

6600 W CHARLESTON BLVD STE 140
Las Vegas, NV 89146

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: Stark Medicine Mckay Khurana Jeider PLLC
34 clinicians in this Medicare group

NPI 1053880856 (725) 246-1483

Humboldt General Hospital

360 mi

Critical Access

118 E HASKELL ST
Winnemucca, NV 89445

Reassigned Medicare billing, Nevada enrollment
45 clinicians in this Medicare group

NPI 1750498010 (775) 623-5222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$173.24 typical visit price

range $57.07 – $173.24

Typical copayment $43.31 (range $14.26 – $43.31)

Most-billed visit code 99205

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANUJ CHANNU KAMBALYAL MD

Student in an Organized Health Care Education/Training Program