NPIMap

Individual provider Active NPI

Elliot L Smith, M.D.

  • Internal Medicine Physician
  • Evans City, PA
National Provider Identifier
1396741492
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD053373L Issued in PA
Practice address
217 E Main St
Evans City, PA 16033-1219
Phone
(724) 538-9700
Fax
(724) 538-9710
NPI assigned
Jun 23, 2005
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD053373L PA Primary

Addresses

Primary practice location

217 E Main St
Evans City, PA 16033-1219

Mailing address

217 E Main St
Evans City, PA 16033-1219
Phone (724) 538-9700

Other identifiers 2

IdentifierTypeStateIssuer
P00232506OtherPARR MED INDIV #
001530960 0008MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000334 PA Practitioner - Internal Medicine 2567448665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windber Hospital IncGroup PAC ID 9234187576, 37 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

1511 Scalp Ave
Johnstown, PA 15904-3348
Phone (814) 254-4207

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Nov 1, 2013 Accepting new patients
Windber Hospital, Inc. Internal Medicine CurrentSince May 18, 2024 Accepting new patients
Windber Hospital, Inc CurrentSince May 18, 2024 Accepting new patients
Butler Medical Providers CurrentSince Nov 1, 2013 Accepting new patients
Butler Medical Providers Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
University of Pittsburgh Physicians Past Accepting new patients

Locations

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

217 E Main St
Evans City, PA 16033
Phone (724) 538-9700

1511 Scalp Ave
Johnstown, PA 15904
Phone (814) 254-4207

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1396741492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E MAIN ST",
            "city": "EVANS CITY",
            "state": "PA",
            "postal_code": "160331219",
            "telephone_number": "724-538-9700",
            "fax_number": "724-538-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E MAIN ST",
            "city": "EVANS CITY",
            "state": "PA",
            "postal_code": "160331219",
            "telephone_number": "724-538-9700",
            "fax_number": "724-538-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELLIOT",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD053373L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MED INDIV #",
            "identifier": "P00232506",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001530960 0008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans City, PA

Sources for this page

Verify at the official NPI Registry.