KATHLEEN M SMITH MD
NPI 1699796201
Pediatrics - Pediatric Emergency Medicine in Hillsboro, OR
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 and maintains a secondary practice location in San Diego.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen M Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97210
- Reassigned Medicare billing, Oregon and Washington enrollments
- 1,248 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.
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.
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 enrollment system.
Which organization bills Medicare for Kathleen Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Smith reassigns Medicare benefits to Legacy Clinics LLC (Portland, OR). The 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 Kathleen Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Smith accept?
Health plans from Blue Cross Blue Shield of Arizona 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 5 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.
# Kathleen M Smith, MD · NPI 1699796201
Pediatric Emergency Medicine physician in Hillsboro, Oregon. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1699796201 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** MD26976 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10690 NE CORNELL RD STE 220, Hillsboro, OR 97124-9224
- **Phone:** (503) 848-5861
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Legacy Clinics LLC (NPI 1902827272, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2021
- **Other identifiers:** Medicaid 298528 (OR); Medicaid 8129355 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1699796201) · Data from the CMS NPPES public registry.