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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELTON JOHN SMITH M.D.
NPI 1679526784
Psychiatry & Neurology - Psychiatry in Phila, PA

Active since May 18, 2006PECOS Enrolled
4641 ROOSEVELT BLVD, PHILA, PA 19124(215) 831-4600 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 28, 2026, Jun 3, 2025, Feb 21, 2025 and 6 more (9 updates tracked since 2016).

About Elton John Smith M.d. NPPES

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

ELTON JOHN SMITH M.D. (NPI 1679526784) is an individual psychiatry provider in Phila, Pennsylvania, licensed in Virginia (0101259244) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Morehouse School Of Medicine (2002).

NPPES Registry Identity

NPI1679526784
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameELTON JOHN SMITHCredential: M.D.
Location Address4641 ROOSEVELT BLVDPhila, PA 19124-2343
Mailing Address4641 E Roosevelt BlvdPhila, PA 19124-2343 · (215) 831-4600
Phone(215) 831-4600
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2002
Enumeration DateMay 18, 2006
Last NPPES UpdateSeptember 28, 20269 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1679526784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in VA · 0101259244✔ Licensed in DE · C1-0008215✔ Licensed in IL · 036140146✔ Licensed in NJ · 25MA08836800✔ Licensed in PA · MD425154
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 25MA08836800 (NJ), 0101259244 (VA)
4641 ROOSEVELT BLVD, Phila, PA 19124
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1220 Campus Blvd Ste 320Winchester, VA 22601-2889 · Phone (540) 536-5100 · Fax (540) 536-0235
Location 2428 Biltmore AveAsheville, NC 28801-4502 · Phone (828) 213-4520 · Fax (828) 213-4540
Location 31005 Broadway StQuincy, IL 62301-2834 · Phone (217) 223-8400 · Fax (217) 224-9383
Location 4130 S Bryn Mawr AveBryn Mawr, PA 19010-3121 · Phone (484) 337-4286
Location 5424 Savannah RdLewes, DE 19958-1462 · Phone (302) 645-3499 · Fax (302) 644-4830
Location 61020 First Colonial Rd Ste AVirginia Beach, VA 23454-3078 · Phone (757) 395-1850 · Fax (757) 222-9360
Location 720201 Crawford AveOlympia Fields, IL 60461-1010 · Phone (219) 866-5141

Other Identifiers 1

OtherMD425154PA · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida and more.Insurance ›

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

Elton John Smith M.d. 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 ID1759487614
PECOS Enrollment IDI20070509000526, I20160602000997, I20161014000050, I20170209001787, I20170504000284, I20181113001187, I20201222000569, I20210107000322, I20241230000645
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ADAM LEVINE LCSW
Social Worker
4641 ROOSEVELT BLVD, ORLEANS BUILDING
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2899
FRIENDS BEHAVIORAL HEALTH SYSTEM, LP
Psychiatric Hospital
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-4600
PAUL BALLAS
Psychiatry & Neurology (Psychiatry)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-7935
COURTNEY DOUDS LSW, MED
Social Worker
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2860
MR. JAMIYLAH SIKA BURNS PHYSICAL THERAPIST
Physical Therapist (Pediatrics)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 742-7820
CHRISTEN JOESELL YASSIN
Social Worker
4641 ROOSEVELT BLVD, ORLEANS BLDG
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2836
MRS. MARIANN MONTELEONE RN
Registered Nurse (Psychiatric/Mental Health)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2964
DR. MITZIE L GRANT PHD.
Clinical Neuropsychologist
4641 ROOSEVELT BLVD, SUITE C229
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-4811

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 Elton Smith's NPI number?

The NPI number for Elton Smith is 1679526784. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Elton Smith located?

Elton Smith practices at 4641 Roosevelt Blvd, Phila, PA 19124. The listed phone number is (215) 831-4600.

What is Elton Smith's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Elton Smith enrolled in Medicare?

Yes. Elton 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.

What insurance does Elton Smith accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Insurance Company and 2 other insurers list Elton Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elton Smith was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.