DR. NISHITH V SMART M.D.
NPI 1699969345
Hospitalist in Wilkes Barre, PA

Active since September 05, 2007PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
575 N RIVER ST, WILKES BARRE, PA 18764(570) 552-4450 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nishith V Smart M.d. NPPES

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

DR. NISHITH V SMART M.D. (NPI 1699969345) is an individual hospitalist provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD441110) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1699969345
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. NISHITH V SMARTCredential: M.D.
Location Address575 N RIVER STWilkes Barre, PA 18764-4461
Mailing Address3550 Bushwood Park Drive, Suite 350Tampa, FL 33618 · (813) 936-5000 · Fax (813) 936-5001
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 5, 2007
Last NPPES UpdateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
NPI 1699969345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in PA · MD441110
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME99711 (FL), MD441110 (PA)
575 N RIVER ST, Wilkes Barre, PA 18764

Secondary Practice Location 1

Location 13550 Buschwood Park Dr, SUITE 350Tampa, FL 33618-4461 · Phone (813) 936-5000 · Fax (813) 936-5001

Other Identifiers 1

Medicaid280100100FL

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

Dr. Nishith V Smart 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 ID9436233038
PECOS Enrollment IDI20130311000064
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
42 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services32 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18764 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

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
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Practitioner (Family)
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Clinic/Center
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Emergency Medicine
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764

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 Nishith Smart's NPI number?

The NPI number for Nishith Smart is 1699969345. It was assigned to this individual provider in the NPPES registry on September 5, 2007.

Where is Nishith Smart located?

Nishith Smart practices at 575 N River St, Wilkes Barre, PA 18764. The listed phone number is (570) 552-4450.

What is Nishith Smart's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nishith Smart enrolled in Medicare?

Yes. Nishith Smart 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 Nishith Smart affiliated with any hospitals?

According to CMS data, Nishith Smart is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Nishith Smart was last updated on December 8, 2020. 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.