Individual provider Active NPI

Dylan Smith, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1043749047
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101271683 Issued in VA
Practice address
5501 Old York Rd
Philadelphia, PA 19141-3018
Phone
(215) 456-3834
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT213011 PA
Emergency Medicine Physician 207P00000X 0101271683 VA Primary

Addresses

Primary practice location

5501 Old York Rd
Philadelphia, PA 19141-3018

Mailing address

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-3834

Other practice location 1

1850 Town Center Pkwy
Reston, VA 20190-3204
Phone (240) 686-2300

Other practice location 2

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700

Other practice location 3

351 Valley Health Way
Front Royal, VA 22630-3598
Phone (540) 636-0300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dsmith1099800@soc.inova.org
Direct Messaging Address dsmith1099800@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210621002118 VA Practitioner - Emergency Medicine 9234539784 Reassigns benefits to 3 organizations
I20210622002290 DC Practitioner - Emergency Medicine 9234539784 Reassigns benefits to 1 organization
I20250728002260 TX Practitioner - Emergency Medicine 9234539784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Temple University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gonzales Emergency Partners PLLCGroup PAC ID 3971964032, 7 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311

Hospital & facility affiliations

  • Memorial Hospital Hospital, Gonzales, TX, CCN 450235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT213011PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Memorial Hospital, Inc. Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Winchester Medical Center Current Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jul 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2021 Accepting new patients
Winchester Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Gonzales Emergency Partners, PLLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Winchester Medical Center Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1043749047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-3834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Town Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903204",
            "country_code": "US",
            "telephone_number": "240-686-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8700",
            "fax_number": "540-536-4177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Valley Health Way",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226303598",
            "country_code": "US",
            "telephone_number": "540-636-0300",
            "fax_number": "540-636-0427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DYLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT213011",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101271683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsmith1099800@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsmith1099800@soc.inova.org",
            "affiliation": "N",
            "address_1": "351 Valley Health Way",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.