ELEANOR SMITH MD
NPI 1609404920
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 31, 2020PECOS Enrolled
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157(336) 716-4081(336) 716-3065 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eleanor Smith Md NPPES

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

ELEANOR SMITH MD (NPI 1609404920) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609404920
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELEANOR SMITHCredential: MD
Location AddressMEDICAL CENTER BOULEVARDWinston Salem, NC 27157-0001
Mailing Address5623 Westwood CtBloomfield Hills, MI 48301-1244 · (248) 535-0262
Fax(336) 716-3065
Sole ProprietorNo
Enumeration DateMarch 31, 2020
NPPES CertifiedMarch 31, 2020
NPI 1609404920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MEDICAL CENTER BOULEVARD, Winston Salem, NC 27157

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eleanor 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.

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.

Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Plastic Surgery
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Pathology (Anatomic Pathology & Clinical Pathology)
MEDICAL CENTER BOULEVARD, DEPARTMENT OF PATHOLOGY WF SCHOOL OF MEDICINE
WINSTON-SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Emergency Medicine
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Physician Assistant
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157

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 Eleanor Smith's NPI number?

The NPI number for Eleanor Smith is 1609404920. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Eleanor Smith located?

Eleanor Smith practices at Medical Center Boulevard, Winston Salem, NC 27157. The listed phone number is (336) 716-4081.

What is Eleanor Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Eleanor Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Eleanor Smith was last updated on March 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.