DERRICK SMITH JR.
NPI 1922488154
Nurse Anesthetist, Certified Registered in New York, NY
About Derrick Smith Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK SMITH JR. (NPI 1922488154) is an individual nurse anesthetist, certified registered in New York, New York, licensed in New York (603487) and active in the NPI registry since June 2015. He is affiliated with Jamaica Hospital Medical Center and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derrick Smith Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Derrick Smith reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 384 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- 163 clinicians in this Medicare group
Valley Stream, NY 11581
- Reassigned Medicare billing, New York enrollment
- 305 clinicians in this Medicare group
Cortlandt Manor, NY 10567
- Reassigned Medicare billing, New York enrollment
- 93 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jamaica Hospital Medical Center
Acute Care Hospitals · Jamaica, NYMontefiore Medical Center
Acute Care Hospitals · Bronx, NYHudson Valley Hospital Center
Acute Care Hospitals · Cortlandt Manor, NYMedicare 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Derrick Smith's NPI number?
The NPI number for Derrick Smith is 1922488154. It was assigned to this individual provider in the NPPES registry on June 3, 2015.
Where is Derrick Smith located?
Derrick Smith practices at 100 2nd Ave Apt 2A, New York, NY 10003. The listed phone number is (609) 556-8345.
What is Derrick Smith's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Derrick Smith enrolled in Medicare?
Yes. Derrick Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Derrick Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Smith reassigns Medicare benefits to 5 organizations: Weill Medical College Of Cornell (New York, NY), Montefiore Medical Center (New York, NY), Jamaica Anesthesiologist, PC (Jamaica, NY), Sedation Vacation Perioperative Medicine PLLC (Valley Stream, NY) and Hudson Health Anesthesia PLLC (Cortlandt Manor, NY). Each 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 Derrick Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Derrick Smith affiliated with any hospitals?
According to CMS data, Derrick Smith is affiliated with Jamaica Hospital Medical Center, Montefiore Medical Center and Hudson Valley Hospital Center.
When was this NPI record last updated?
The NPPES record for Derrick Smith was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Derrick Smith Jr. · NPI 1922488154
Nurse Anesthetist, Certified Registered physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 3, 2015.
## Identity
- **NPI:** 1922488154 (Entity type: Individual)
- **Enumerated:** June 3, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 603487 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 2ND AVE, APT 2A, New York, NY 10003-8307
- **Phone:** (609) 556-8345
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Weill Medical College Of Cornell (NPI 1164768305, New York, NY); Montefiore Medical Center (NPI 1760288278, New York, NY); Jamaica Anesthesiologist, PC (NPI 1508812892, Jamaica, NY); Sedation Vacation Perioperative Medicine PLLC (NPI 1891235404, Valley Stream, NY); Hudson Health Anesthesia PLLC (NPI 1619633898, Cortlandt Manor, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 3, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1922488154) · Data from the CMS NPPES public registry.