Sidney B Smith, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00046007 Issued in WA

Practice address

1295 Fowler St # 1B
Richland, WA 99352-4723

Phone

(509) 783-2004

Fax

(509) 783-1949

NPI assigned

Sep 27, 2006

Last updated

Jul 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Dermatology

Education

Ponce School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermahealth Dermatology PLLCGroup PAC ID 8729145677, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.53 of 100Reported as group

Quality

87.07

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dermahealth Dermatology, PLLC

  • Dermatology Physician
  • Richland, WA
  • NPI 1881835171
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1326139080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 FOWLER STREET",
            "address_2": "SUITE 1C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524715",
            "telephone_number": "509-783-2004",
            "fax_number": "509-783-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 FOWLER ST # 1B",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524723",
            "telephone_number": "509-783-2004",
            "fax_number": "509-783-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SIDNEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00046007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne L Smith, PA-C
• Molly Miranda Smith, RN
• Nicole Deborah Smith, ARNP
• Paul Quentin Smith, M.D.
• Philip G Smith, MD
• Sydney Yvonne Smith
• William Clark Smith
• Janie Moreno Snow, SUDP
• Suzanne R Snow, DDS
• Ronald K Snyder, DDS

• Dermatology Physician in Richland, WA
• Providers in Richland, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.

Verify at the official NPI Registry.