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DAVID ALLEN SMITH M.D.
NPI 1962405993
Surgery - Pediatric Surgery in Fort Wayne, IN

Active since May 23, 2005PECOS Enrolled
7613 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 46804(260) 469-7337(260) 469-7340 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David Allen Smith M.d. NPPES

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

DAVID ALLEN SMITH M.D. (NPI 1962405993) is an individual pediatric surgery provider in Fort Wayne, Indiana, licensed in Indiana (01040403A) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962405993
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDAVID ALLEN SMITHCredential: M.D.
Location Address7613 W JEFFERSON BLVD STE 200Fort Wayne, IN 46804-4182
Mailing Address7613 W Jefferson Blvd Ste 200Fort Wayne, IN 46804-4182 · (260) 469-7337 · Fax (260) 469-7340
Phone(260) 469-7337
Fax(260) 469-7340
Sole ProprietorYes
Enumeration DateMay 23, 2005
Last NPPES UpdateMarch 31, 2014
✔ NPI 1962405993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in IN · 01040403A
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 01040403A (IN)
7613 W JEFFERSON BLVD STE 200, Fort Wayne, IN 46804
Open in Google Maps ↗

Other Identifiers 5

Medicaid200049180IN
Medicaid104683309MI
Medicaid2080877OH
Medicare UPINF33234IN
Medicare PIN220530AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Allen Smith 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.

Medicare Billing Reassignment

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

Great Lakes Pediatric Surgeons, Inc.
Same address
Pediatric Surgery
7613 W JEFFERSON BLVD STE 200
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 6 clinicians in this Medicare group
NPI 1669455267 (260) 469-7337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

JOSIAH WESLEY REISH CPNP-AC
Nurse Practitioner (Pediatrics)
7613 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 46804
Allen County (260) 469-7337
DR. JO A COOKE-BARBER M.D.
Surgery (Pediatric Surgery)
7613 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 46804
Allen County (260) 469-7337
GREAT LAKES PEDIATRIC SURGEONS, INC.
Surgery (Pediatric Surgery)
7613 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 46804
Allen County (260) 469-7337
DR. CAREY LANE WATSON M.D.
Surgery (Pediatric Surgery)
7613 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 46804
Allen County (260) 469-7337
ELIZABETH ANN MEYER PA-C
Physician Assistant
7613 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 46804
Allen County (260) 469-7337

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 David Smith's NPI number?

The NPI number for David Smith is 1962405993. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is David Smith located?

David Smith practices at 7613 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804. The listed phone number is (260) 469-7337.

What is David Smith's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is David Smith enrolled in Medicare?

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

Which organization bills Medicare for David Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Smith reassigns Medicare benefits to Great Lakes Pediatric Surgeons, Inc. (Fort Wayne, IN). 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 David Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list David Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Smith was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.