MEADOW FAMILY MEDICINE
NPI 1609802867
Family Medicine in North Tonawanda, NY

Active since June 22, 2006CLIA 33D0997768 · Waiver
533 MEADOW DR, #2, NORTH TONAWANDA, NY 14120(716) 693-4600(716) 693-4807 Get Directions Write a Review

NPPES record last updated: January 26, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Meadow Family Medicine NPPES

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

MEADOW FAMILY MEDICINE (NPI 1609802867) is a healthcare organization registered as a family medicine in North Tonawanda, New York and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Olivia Smith-blackwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1609802867
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLIVIA SMITH-BLACKWELL MD PC
Location Address533 MEADOW DR, #2North Tonawanda, NY 14120-2835
Mailing Address908 Niagara Falls Blvd, Suite 208North Tonawanda, NY 14120-2019 · (716) 692-3302 · Fax (716) 332-3525
Fax(716) 693-4807
Organization SubpartNo
Authorized OfficialOlivia Smith-blackwellOwner · (716) 693-4600
Enumeration DateJune 22, 2006
Last NPPES UpdateJanuary 26, 2011
✔ NPI 1609802867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
533 MEADOW DR, North Tonawanda, NY 14120

Other Names 1

Doing Business AsMeadow Family Medicine

Other Identifiers 2

Medicare ID-Type UnspecifiedBA0413NY
Medicaid02632800NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meadow Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Meadow Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1730146655
533 MEADOW DR SUITE 2
North Tonawanda, NY 14120
(716) 693-4600
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1023075918
601 DIVISION ST
North Tonawanda, NY 14120
(716) 693-0118
✔ PECOS✔ Accepts Medicare0.9 mi

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

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 33D0997768

Olivia Smith-Blackwell MD PC Meadow Family Medicine · North Tonawanda, NY
Active · expires Apr 11, 2027
CLIA Number33D0997768
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorDr. Olivia Smith Blackwell
Laboratory Phone(716) 693-4600
Laboratory LocationOlivia Smith-Blackwell MD PC Meadow Family Medicine601 Division Street, North Tonawanda, NY 14120
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Olivia Smith-Blackwell MD PC's NPI number?

The NPI number for Olivia Smith-Blackwell MD PC is 1609802867. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Meadow Family Medicine.

Where is Olivia Smith-Blackwell MD PC located?

Olivia Smith-Blackwell MD PC is located at 533 Meadow Dr #2, North Tonawanda, NY 14120. The listed phone number is (716) 693-4600.

What is Olivia Smith-Blackwell MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Olivia Smith-Blackwell MD PC enrolled in Medicare?

Yes. Olivia Smith-Blackwell MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olivia Smith-Blackwell MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Olivia Smith-Blackwell MD PC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Olivia Smith-Blackwell MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0997768) is associated with this NPI, valid through April 11, 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 Olivia Smith-Blackwell MD PC was last updated on January 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.