KATHLEEN M SMITH MD
NPI 1699796201
Pediatrics - Pediatric Emergency Medicine in Hillsboro, OR

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
10690 NE CORNELL RD STE 220, HILLSBORO, OR 97124(503) 848-5861 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2021, Jun 18, 2019, Jun 10, 2019 and 1 more (4 updates tracked since 2015).

About Kathleen M Smith Md NPPES

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

KATHLEEN M SMITH MD (NPI 1699796201) is an individual pediatric emergency medicine provider in Hillsboro, Oregon, licensed in Oregon (MD26976) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Temple University School Of Medicine (1982).

NPPES Registry Identity

NPI1699796201
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameKATHLEEN M SMITHCredential: MD
Location Address10690 NE CORNELL RD STE 220Hillsboro, OR 97124-9224
Mailing Address3020 Childrens Way # Mc5075San Diego, CA 92123-4223 · (858) 966-8036 · Fax (858) 966-7433
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1982
Enumeration DateJuly 21, 2006
Last NPPES UpdateSeptember 23, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
NPI 1699796201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in OR · MD26976
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License G55045 (CA)
Also ListedPediatricsTaxonomy 208000000X · License MD26976 (OR)
10690 NE CORNELL RD STE 220, Hillsboro, OR 97124

Secondary Practice Location 1

Location 13020 Childrens WaySan Diego, CA 92123-4223 · Phone (858) 966-8036 · Fax (858) 966-7433

Other Identifiers 2

Medicaid298528OR
Medicaid8129355WA

Accepted 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

Kathleen M Smith Md 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 ID9436041902
PECOS Enrollment IDI20040329000704, I20070126000623
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 20

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

Nurse Practitioner (Family)
10690 NE CORNELL RD STE 220
HILLSBORO, OR 97124
Physician Assistant
10690 NE CORNELL RD STE 220
HILLSBORO, OR 97124
Family Medicine
10690 NE CORNELL RD STE 220
HILLSBORO, OR 97124
Community Health Worker
10690 NE CORNELL RD STE 220
HILLSBORO, OR 97124
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10690 NE CORNELL RD STE 220
HILLSBORO, OR 97124
Physician Assistant
10690 NE CORNELL RD STE 220
HILLSBORO, OR 97124
Family Medicine
10690 NE CORNELL RD STE 220
HILLSBORO, OR 97124
Family Medicine
10690 NE CORNELL RD STE 220
HILLSBORO, OR 97124

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 Kathleen Smith's NPI number?

The NPI number for Kathleen Smith is 1699796201. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Kathleen Smith located?

Kathleen Smith practices at 10690 NE Cornell Rd Ste 220, Hillsboro, OR 97124. The listed phone number is (503) 848-5861.

What is Kathleen Smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Kathleen Smith enrolled in Medicare?

Yes. Kathleen 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 Kathleen Smith accept?

Health plans from Blue Cross Blue Shield of Arizona and Moda Health Plan, Inc. list Kathleen 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 Kathleen Smith was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.