DR. KELSEA SMITH MD
NPI 1982231429
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 25, 2020PECOS Enrolled
3959 BROADWAY, NEW YORK, NY 10032(212) 305-8504 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2026, Mar 25, 2020 (2 updates tracked since 2020).

About Dr. Kelsea Smith Md NPPES

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

DR. KELSEA SMITH MD (NPI 1982231429) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1982231429
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KELSEA SMITHCredential: MD
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000 · Fax (410) 500-4266
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1982231429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3959 BROADWAY, New York, NY 10032

Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kelsea 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.

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.

Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032

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 Kelsea Smith's NPI number?

The NPI number for Kelsea Smith is 1982231429. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Kelsea Smith located?

Kelsea Smith practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-8504.

What is Kelsea Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelsea Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelsea Smith was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.