CONNOR LOGAN SMITH
NPI 1639608276
Student in an Organized Health Care Education/Training Program in Albany, NY
About Connor Logan Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNOR LOGAN SMITH (NPI 1639608276) is an individual student in an organized health care education/training program in Albany, New York and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Connor Logan Smith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Connor Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albany, NY 12208
- Reassigned Medicare billing, New York enrollment
- 1,640 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBANY, NY 12208
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 Connor Smith's NPI number?
The NPI number for Connor Smith is 1639608276. It was assigned to this individual provider in the NPPES registry on June 7, 2017.
Where is Connor Smith located?
Connor Smith practices at 2 Clara Barton Dr # Mc-164, Albany, NY 12208. The listed phone number is (518) 262-5511.
What is Connor 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 Connor Smith enrolled in Medicare?
Yes. Connor Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Connor Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connor Smith reassigns Medicare benefits to Albany Medical College (Albany, NY). The 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 Connor Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Connor Smith was last updated on September 22, 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.
# Connor Logan Smith · NPI 1639608276
Student in an Organized Health Care Education/Training Program provider in Albany, New York. Individual provider, active in the CMS NPPES registry since June 7, 2017.
## Identity
- **NPI:** 1639608276 (Entity type: Individual)
- **Enumerated:** June 7, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2 CLARA BARTON DR # MC-164, Albany, NY 12208-3472
- **Phone:** (518) 262-5511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Albany Medical College (NPI 1497921688, Albany, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 22, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1639608276) · Data from the CMS NPPES public registry.