DR. SHAWDAE THOMAS SMITH MD
NPI 1770004616
Family Medicine in Palm Beach Gardens, FL

Active since June 30, 2017PECOS Enrolled
3401 PGA BLVD STE 380, PALM BEACH GARDENS, FL 33410(866) 665-4827 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2024, Jul 29, 2022, Jun 30, 2017 (3 updates tracked since 2017).

About Dr. Shawdae Thomas Smith Md NPPES

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

DR. SHAWDAE THOMAS SMITH MD (NPI 1770004616) is an individual family medicine provider in Palm Beach Gardens, Florida, licensed in Florida (ME154250) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770004616
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHAWDAE THOMAS SMITHCredential: MD
Location Address3401 PGA BLVD STE 380Palm Beach Gardens, FL 33410-2996
Mailing Address8400 Nw 33rd St Ste 201Doral, FL 33122-1937 · (844) 665-4827
Sole ProprietorNo
Enumeration DateJune 30, 2017
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1770004616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME154250
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3401 PGA BLVD STE 380, Palm Beach Gardens, FL 33410

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Reassignment

Medicare enrollment records show Shawdae Thomas Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
1600 TORRENCE AVE
Calumet City, IL 60409
  • Reassigned Medicare billing, Illinois enrollment
  • 84 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33410 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
3401 PGA BLVD STE 380
PALM BEACH GARDENS, FL 33410
Clinic/Center (Multi-Specialty)
3401 PGA BLVD STE 380
PALM BEACH GARDENS, FL 33410

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 Shawdae Thomas Smith's NPI number?

The NPI number for Shawdae Thomas Smith is 1770004616. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Shawdae Thomas Smith located?

Shawdae Thomas Smith practices at 3401 Pga Blvd Ste 380, Palm Beach Gardens, FL 33410. The listed phone number is (866) 665-4827.

What is Shawdae Thomas Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shawdae Thomas Smith enrolled in Medicare?

Yes. Shawdae Thomas Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shawdae Thomas Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawdae Thomas Smith reassigns Medicare benefits to Harvey Emergency Physicians, PLLC (Calumet City, IL). 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 Shawdae Thomas Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shawdae Thomas Smith was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.