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CONNOR LOGAN SMITH
NPI 1639608276
Student in an Organized Health Care Education/Training Program in Albany, NY

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
2 CLARA BARTON DR # MC-164, ALBANY, NY 12208(518) 262-5511 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2022, Jul 2, 2018, Jun 7, 2017 (3 updates tracked since 2017).

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

NPI1639608276
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNOR LOGAN SMITH
Location Address2 CLARA BARTON DR # MC-164Albany, NY 12208-3472
Mailing Address2 Clara Barton Dr # Mc-164Albany, NY 12208-3472 · (518) 262-5511
Phone(518) 262-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 7, 2017
Last NPPES UpdateSeptember 22, 20223 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1639608276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
2 CLARA BARTON DR # MC-164, Albany, NY 12208
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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 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.

PECOS PAC ID2264881861
PECOS Enrollment IDI20231207002919
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 3

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

DR. JENNIFER LENT-YOSHIDA
Psychologist (Clinical Child & Adolescent)
2 CLARA BARTON DR # MC-164
ALBANY, NY 12208
Albany County (518) 262-5511
DR. RYAN CRAIG EBERSOLE PH.D.
Psychologist (Clinical)
2 CLARA BARTON DR # MC-164
ALBANY, NY 12208
Albany County (518) 262-5511
DR. KAYLYN L WATTERSON PHD
Psychologist (Counseling)
2 CLARA BARTON DR # MC-164
ALBANY, NY 12208
Albany County (518) 262-5511

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.

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 3 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.