Individual provider Active NPI

Janine N. Smith-Marshall, M.D.

  • Ophthalmology Physician
  • Bowie, MD
National Provider Identifier
1164406112
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D64175 Issued in MD
Practice address
6915 Laurel Bowie Rd
Suite 102
Bowie, MD 20715-1703
Phone
(301) 464-7935
Fax
(301) 464-3762
NPI assigned
Dec 2, 2005
Last updated
Mar 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D64175 MD Primary

Addresses

Primary practice location

6915 Laurel Bowie Rd
Suite 102
Bowie, MD 20715-1703

Mailing address

6915 Laurel Bowie Rd
Ste 102
Bowie, MD 20715-1715
Phone (301) 464-7935

Other identifiers 1

IdentifierTypeStateIssuer
02312545MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000882 DC Practitioner - Ophthalmology 4284656687 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard UniversityGroup PAC ID 0941109565, 182 clinicians

Practice addresses (Care Compare)

2041 Georgia NW Ave
Washington, DC 20060-0001
Phone (202) 865-6679

6915 Laurel Bowie Rd
Suite 102
Bowie, MD 20715-1715
Phone (301) 464-7935

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D64175MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WHC Emerg Phys CurrentSince Jul 1, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 9, 2011 Accepting new patients
WHC Physician Group LLC CurrentSince Jul 1, 2015 Accepting new patients
WHC Physician Group LLC Current Accepting new patients
MGMC, LLC CurrentSince May 9, 2011 Accepting new patients
Medstar Georgetown Medical Center, Inc PastSince May 3, 2011 Accepting new patients
University Group Medical Associates, P.C Ophthalmology Past Accepting new patients
Arlington Loudoun Pediatric Ophthalmology PLLC Ophthalmology PastSince May 13, 2009 Accepting new patients
University Physicians of Brooklyn, Inc. Ophthalmology Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1164406112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 LAUREL BOWIE RD",
            "address_2": "STE 102",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151715",
            "telephone_number": "301-464-7935",
            "fax_number": "301-464-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 LAUREL BOWIE RD",
            "address_2": "SUITE 102",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151703",
            "telephone_number": "301-464-7935",
            "fax_number": "301-464-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-MARSHALL",
        "first_name": "JANINE",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D64175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02312545",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.