DR. CONNOR MITCHELL SMITH MD
NPI 1720601149
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 20, 2020PECOS Enrolled
1500 E. MEDICAL CENTER DRIVE, 1903 TAUBMAN CENTER, SPC 5312, ANN ARBOR, MI 48109(734) 936-9178 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Connor Mitchell Smith Md NPPES

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

DR. CONNOR MITCHELL SMITH MD (NPI 1720601149) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351046295) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2020).

NPPES Registry Identity

NPI1720601149
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CONNOR MITCHELL SMITHCredential: MD
Location Address1500 E. MEDICAL CENTER DRIVE, 1903 TAUBMAN CENTER, SPC 5312Ann Arbor, MI 48109
Mailing Address1500 E. Medical Center Drive, 1903 Taubman Center, Spc 5312Ann Arbor, MI 48109
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2020
Enumeration DateMay 20, 2020
NPPES CertifiedMay 20, 2020
NPI 1720601149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351046295
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E. MEDICAL CENTER DRIVE, Ann Arbor, MI 48109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Connor Mitchell Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638590615
PECOS Enrollment IDI20260612001928
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.

Emergency Medicine
1500 E. MEDICAL CENTER DRIVE, B1-380 TC
ANN ARBOR, MI 48109
Pediatrics (Pediatric Critical Care Medicine)
1500 E. MEDICAL CENTER DRIVE, F6790 UH SOUTH, SPC 5243
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DRIVE, CARDIOVASCULAR MEDICINE
ANN ARBOR, MI 48109
Dentist (Oral and Maxillofacial Surgery)
1500 E. MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DRIVE, 1H 247 UH
ANN ARBOR, MI 48109
Dentist (General Practice)
1500 E. MEDICAL CENTER DRIVE, MEDINN CLINIC C213,SPC 5831
ANN ARBOR, MI 48109
Surgery
1500 E. MEDICAL CENTER DRIVE, TAUBMAN CENTER, 2ND FLOOR, RECEPTION F
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109

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 Connor Smith's NPI number?

The NPI number for Connor Smith is 1720601149. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Connor Smith located?

Connor Smith practices at 1500 E. Medical Center Drive 1903 Taubman Center, Spc 5312, Ann Arbor, MI 48109. The listed phone number is (734) 936-9178.

What is Connor Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Connor Smith enrolled in Medicare?

Yes. Connor Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Smith was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.