MR. STEPHEN SMITH IV M.D. - NPI 1851452148

Q: What is Stephen Smith's NPI number?

The NPI number for Stephen Smith is 1851452148. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Stephen Smith's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Smith was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Stephen Smith Iv M.d. NPPES

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

MR. STEPHEN SMITH IV M.D. (NPI 1851452148) is an individual specialist in Visalia, California, licensed in California (A040793) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851452148

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. STEPHEN SMITH IVCredential: M.D.

Location Address515 S LOCUST STVisalia, CA 93277-2616

Mailing Address515 S Locust StVisalia, CA 93277-2616 · (559) 625-4630 · Fax (559) 625-4699

Phone(559) 625-4630

Fax(559) 625-4699

Sole ProprietorNo

Enumeration DateDecember 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1851452148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A040793

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

515 S LOCUST ST, Visalia, CA 93277

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Other Identifiers 3

Medicare UPINA29204CA

Medicare ID-Type UnspecifiedOOA407930CA

MedicaidOOA407930CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Stephen Smith Iv M.d. 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier11 claims1,320 services$1.00 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$12.82 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers15 claims15 services$18.96 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MR. ROGER JAMES HALEY M.D. F.A.C.P.

Specialist