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DR. CHRISTOPHER LACEY SMITH M.D. , PH.D.
NPI 1639517147
Pediatrics - Pediatric Cardiology in Philadelphia, PA

Active since June 06, 2013PECOS Enrolled
3401 CIVIC CENTER BLVD, 9NW63, PHILADELPHIA, PA 19104(215) 590-1220(215) 590-2768 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Christopher Lacey Smith M.d. , Ph.d. NPPES

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

DR. CHRISTOPHER LACEY SMITH M.D. , PH.D. (NPI 1639517147) is an individual pediatric cardiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD458818) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639517147
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. CHRISTOPHER LACEY SMITHCredential: M.D. , PH.D.
Location Address3401 CIVIC CENTER BLVD, 9NW63Philadelphia, PA 19104-4319
Mailing Address100 E Penn Sq Fl 9Philadelphia, PA 19107-3377 · (215) 590-1000 · Fax (215) 590-2768
Phone(215) 590-1220
Fax(215) 590-2768
Sole ProprietorNo
Enumeration DateJune 6, 2013
Last NPPES UpdateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
✔ NPI 1639517147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in PA · MD458818
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Identifiers 1

Medicaid1034955680001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Christopher Lacey Smith M.d. , Ph.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.

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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Christopher Smith's NPI number?

The NPI number for Christopher Smith is 1639517147. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Christopher Smith located?

Christopher Smith practices at 3401 Civic Center Blvd 9nw63, Philadelphia, PA 19104. The listed phone number is (215) 590-1220.

What is Christopher Smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Christopher Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Christopher Smith was last updated on October 19, 2021. 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.