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DORATHEA JOHANNA SMITH M.D.
NPI 1619640307
Family Medicine in Visalia, CA

Active since July 28, 2021PECOS Enrolled
400 W MINERAL KING AVE, VISALIA, CA 93291(559) 624-2207(559) 625-7407 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2024, Feb 22, 2022, Jul 28, 2021 (3 updates tracked since 2021).

About Dorathea Johanna Smith M.d. NPPES

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

DORATHEA JOHANNA SMITH M.D. (NPI 1619640307) is an individual family medicine provider in Visalia, California, licensed in California (A190106) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619640307
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDORATHEA JOHANNA SMITHCredential: M.D.
Location Address400 W MINERAL KING AVEVisalia, CA 93291-6237
Mailing Address3875 W Beechwood AveFresno, CA 93711-0795 · (800) 492-4227
Phone(559) 624-2207
Fax(559) 625-7407
Sole ProprietorNo
Enumeration DateJuly 28, 2021
Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1619640307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A190106
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.
400 W MINERAL KING AVE, Visalia, CA 93291
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dorathea Johanna Smith M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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 20

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

STEPHANIE SONGEY
Emergency Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000
GURSHARNJIT KAUR M.D.
Family Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-4820
GEORGE J MOUSSALLY MSN,ACNP-BC,CCRN
Nurse Practitioner (Acute Care)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000
DR. MATTHEW KIM M.D.
Hospitalist
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2207
VAN NANCY TRINH DO
Anesthesiology
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-6999
STEVEN ANDREW PLATO II M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2732
MS. DANA MARIE PAULSEN CRNA
Nurse Anesthetist, Certified Registered
400 W MINERAL KING AVE, KAWEAH DELTA MEDICAL CENTER
VISALIA, CA 93291
Tulare County (559) 624-2000
HEIDI KRISTEL CORBETT
Social Worker (Clinical)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000

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 Dorathea Smith's NPI number?

The NPI number for Dorathea Smith is 1619640307. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Dorathea Smith located?

Dorathea Smith practices at 400 W Mineral King Ave, Visalia, CA 93291. The listed phone number is (559) 624-2207.

What is Dorathea Smith's specialty?

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

Is Dorathea Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dorathea Smith was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.