Active NPI
Mackenzie Smith, MD
- Internal Medicine Physician
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 044415
- Practice address
- 64 Robbins St
Sixth Floor
Waterbury, CT 06708-2613 - Phone
- (203) 573-6263
- Fax
- (203) 573-6707
- NPI assigned
- Jul 21, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 044415 | CT | Primary |
| Hospitalist Physician | 208M00000X | 044415 | CT |
Addresses
Primary practice location
64 Robbins St
Sixth Floor
Waterbury, CT 06708-2613
Mailing address
1625 Straits Tpke
Middlebury, CT 06762-1836
Phone (203) 573-9512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Jefferson Medical College of Thomas Jefferson University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 S Main St
Suite 102
Middletown, CT 06457-3648
Phone (860) 358-6878
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044415 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Hospital | Current | Accepting new patients | |
| Connecticut Pathology Group PC | Current | Accepting new patients | |
| Middlesex Hospital | Internal Medicine | Current | Accepting new patients |
Locations
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878
Interoperability endpoints
- msmith14708@middlesexhealthprd.direct-ci.com
Organizations & group practices 3
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.
-
dba Middlesex Hospital dba Middlesex Hospital Physician Services
- Family Nurse Practitioner
- Middletown, CT
- NPI 1972563138
Internal Medicine
-
- Anatomic Pathology & Clinical Pathology Physician
- Middletown, CT
- NPI 1740219625
-
dba Middlesex Hospital Homecare and Hospice
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1306867163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 STRAITS TPKE",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067621836",
"telephone_number": "203-573-9512",
"fax_number": "203-568-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 ROBBINS ST",
"address_2": "SIXTH FLOOR",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082613",
"telephone_number": "203-573-6263",
"fax_number": "203-573-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MACKENZIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "044415",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "044415",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.