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JAKE SEIKO SMITH
NPI 1679102297
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
3601 FIFTH AVE, FALK MEDICAL BUILDING, PITTSBURGH, PA 15213(501) 686-5162 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2024, Apr 6, 2020 (2 updates tracked since 2020).

About Jake Seiko Smith NPPES

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

JAKE SEIKO SMITH (NPI 1679102297) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1679102297
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAKE SEIKO SMITH
Location Address3601 FIFTH AVE, FALK MEDICAL BUILDINGPittsburgh, PA 15213
Mailing Address3600 Forbes Avenue, Forbes Tower-plaza Level Suite 140Pittsburgh, PA 15213
Phone(501) 686-5162
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedApril 6, 2020
✔ NPI 1679102297 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.
3601 FIFTH AVE, Pittsburgh, PA 15213
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Childrens Way # 634Little Rock, AR 72202-3500 · Phone (501) 686-5162

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

Jake Seiko 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 ID5597187237
PECOS Enrollment IDI20251218002165
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Other Providers at the Same Location NPPES 5

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

JACQUELYN LEE KLUNK MS, RDN, LDN
Dietitian, Registered
3601 FIFTH AVE, STE 1-B, ROOM 145-B
PITTSBURGH, PA 15213
Allegheny County (412) 692-4497
DANIEL JAMES GOETSCHIUS MD PHD
Student in an Organized Health Care Education/Training Program
3601 FIFTH AVE, FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Allegheny County (412) 648-6406
JACKIE WILLIAMS CRNP
Nurse Practitioner (Family)
3601 FIFTH AVE, FL 1
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
MRS. MARY CAROL ANTONELLI CRNP
Nurse Practitioner
3601 FIFTH AVE, FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Allegheny County (412) 647-6700
MS. KAVITHA RAMAKRISHNAN MD
Internal Medicine
3601 FIFTH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 315-0400

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 Jake Smith's NPI number?

The NPI number for Jake Smith is 1679102297. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Jake Smith located?

Jake Smith practices at 3601 Fifth Ave Falk Medical Building, Pittsburgh, PA 15213. The listed phone number is (501) 686-5162.

What is Jake 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 Jake Smith enrolled in Medicare?

Yes. Jake 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.

Is Jake Smith affiliated with any hospitals?

According to CMS data, Jake Smith is affiliated with Upmc Passavant.

When was this NPI record last updated?

The NPPES record for Jake Smith was last updated on July 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.