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 EnrolledAccepts Medicare Assignment
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 25, 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
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

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

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

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, 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.

Medicare Billing Reassignments

37

Medicare enrollment records show Elton Smith reassigns Medicare billing to 37 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
101 E OLNEY AVE, SUITE 400
Philadelphia, PA 19120
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
Family Medicine
2813 COTTMAN AVE
Philadelphia, PA 19149
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 646 clinicians in this Medicare group
Family Medicine
4070 BUTLER PIKE STE 200
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 192 clinicians in this Medicare group
Geriatric Psychiatry
765 EAST ROUTE 70, BUILDING A
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 219 clinicians in this Medicare group
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
Family Medicine
700 HORIZON DR STE 103
Chalfont, PA 18914
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Family Medicine
4229 OREGON PIKE
Ephrata, PA 17522
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
Cardiovascular Disease
560 S GOVERNORS AVE
Dover, DE 19904
  • Reassigned Medicare billing, Delaware enrollment
  • Also billed through NPI 1356808208 (Delaware)
  • 163 clinicians in this Medicare group
Internal Medicine
2 JOURNAL SQUARE, 2ND FLR
Jersey City, NJ 07306
  • Reassigned Medicare billing, New Jersey enrollment
  • 121 clinicians in this Medicare group
Internal Medicine
1515 SAVANNAH RD
Lewes, DE 19958
  • Reassigned Medicare billing, Delaware enrollment
  • 382 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.

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.

Social Worker
4641 ROOSEVELT BLVD, ORLEANS BUILDING
PHILADELPHIA, PA 19124
Psychiatric Hospital
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Psychiatry & Neurology (Psychiatry)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Social Worker
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Physical Therapist (Pediatrics)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Social Worker
4641 ROOSEVELT BLVD, ORLEANS BLDG
PHILADELPHIA, PA 19124
Registered Nurse (Psychiatric/Mental Health)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Clinical Neuropsychologist
4641 ROOSEVELT BLVD, SUITE C229
PHILADELPHIA, PA 19124

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.

Which organizations bill Medicare for Elton Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elton Smith reassigns Medicare benefits to 37 organizations: Einstein Practice Plan, Inc (Philadelphia, PA), Trinity Health Mid-Atlantic Medical Group (Philadelphia, PA), Fornance Physician Services, Inc. (Plymouth Meeting, PA), Center For Family Guidance, PC (Marlton, NJ), Main Line Healthcare (Newtown Square, PA) and 32 more organizations, listed in the Medicare section above. Each 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 Elton Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elton Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 5 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 35 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.