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JARED ANDRE SMITH PHD
NPI 1669285318
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since January 28, 2025PECOS Enrolled
3715 SHEPPERTON BLVD, INDIANAPOLIS, IN 46228(205) 527-8107 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jared Andre Smith Phd NPPES

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

JARED ANDRE SMITH PHD (NPI 1669285318) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669285318
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJARED ANDRE SMITHCredential: PHD
Location Address3715 SHEPPERTON BLVDIndianapolis, IN 46228-2965
Mailing Address3715 Shepperton BlvdIndianapolis, IN 46228-2965 · (205) 527-8107
Phone(205) 527-8107
Sole ProprietorNo
Enumeration DateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1669285318 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.
3715 SHEPPERTON BLVD, Indianapolis, IN 46228
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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)

Jared Andre Smith Phd 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.

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 Jared Smith's NPI number?

The NPI number for Jared Smith is 1669285318. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Jared Smith located?

Jared Smith practices at 3715 Shepperton Blvd, Indianapolis, IN 46228. The listed phone number is (205) 527-8107.

What is Jared 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 Jared Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jared Smith was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.