MR. MYCHAL THOMAS SMITH
NPI 1912459207
Physician Assistant - Medical in Seattle, WA

Active since November 02, 2016PECOS EnrolledAccepts Medicare Assignment
201 16TH AVE E, SEATTLE, WA 98112(206) 326-3000 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2021, Nov 2, 2016 (2 updates tracked since 2016).

About Mr. Mychal Thomas Smith NPPES

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

MR. MYCHAL THOMAS SMITH (NPI 1912459207) is an individual medical provider in Seattle, Washington and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912459207
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MYCHAL THOMAS SMITH
Location Address201 16TH AVE ESeattle, WA 98112-5226
Mailing Address201 16th Ave ESeattle, WA 98112-5226 · (206) 326-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 2, 2016
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
NPI 1912459207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
201 16TH AVE E, Seattle, WA 98112

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

Mr. Mychal Thomas Smith 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 ID2668756461
PECOS Enrollment IDI20180615002414
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.

Internal Medicine (Rheumatology)
201 16TH AVE E
SEATTLE, WA 98112
Occupational Therapist
201 16TH AVE E
SEATTLE, WA 98112
Student in an Organized Health Care Education/Training Program
201 16TH AVE E
SEATTLE, WA 98112
Clinic/Center (Ambulatory Surgical)
201 16TH AVE E, SUITE CMB-2
SEATTLE, WA 98112
Registered Nurse (Home Health)
201 16TH AVE E
SEATTLE, WA 98112
Home Health Aide
201 16TH AVE E
SEATTLE, WA 98112
Pharmacist
201 16TH AVE E
SEATTLE, WA 98112
Occupational Therapist
201 16TH AVE E
SEATTLE, WA 98112

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 Mychal Smith's NPI number?

The NPI number for Mychal Smith is 1912459207. It was assigned to this individual provider in the NPPES registry on November 2, 2016.

Where is Mychal Smith located?

Mychal Smith practices at 201 16th Ave E, Seattle, WA 98112. The listed phone number is (206) 326-3000.

What is Mychal Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mychal Smith enrolled in Medicare?

Yes. Mychal Smith 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.

When was this NPI record last updated?

The NPPES record for Mychal Smith was last updated on May 5, 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.