Individual provider Active NPI

Colin Smith

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1427374941
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD456930 Issued in PA
Practice address
1101 Chestnut St
Philadelphia, PA 19107-3612
Phone
(215) 955-3947
Fax
(215) 955-5245
NPI assigned
Apr 8, 2010
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 NU
Internal Medicine Physician 207R00000X MD456930 PA Primary

Addresses

Primary practice location

1101 Chestnut St
Philadelphia, PA 19107-3612

Mailing address

1218 Walnut St
Apt. 302
Philadelphia, PA 19107-5437
Phone (267) 997-1074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20151208000713 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 9436382876 Reassigns benefits to 3 organizations
I20160711000504 PA Practitioner - Gastroenterology 9436382876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Jefferson Medical College of Thomas Jefferson University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians
Jefferson University Physicians of New Jersey PCGroup PAC ID 9931325131, 117 clinicians

Practice addresses (Care Compare)

26 E Red Bank Ave
Woodbury, NJ 08096-1611
Phone (856) 848-4464

2950 College Dr
Suite 2G
Vineland, NJ 08360-6933
Phone (856) 691-1129

443 Laurel Oak Rd
Suite 130
Voorhees, NJ 08043-4419
Phone (856) 741-0122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy215
Upper gastrointestinal (GI) endoscopy for acid reflux146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD456930PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians of New Jersey, P.C. Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients
Dimarino-Kroop-Prieto Gastro Intestinal Associates PA CurrentSince Nov 1, 2015 Accepting new patients
Jefferson University Physicians Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Dimarino-Kroop-Prieto Gastro-Intestinal Associates,PA CurrentSince Nov 1, 2015 Accepting new patients

Locations

698 Mullica Hill Rd
Ste 310
Mullica Hill, NJ 08062
Phone (856) 848-4464

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

2950 College Dr
Ste 2G
Vineland, NJ 08360
Phone (856) 691-1129

443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122

26 E Red Bank Ave
Woodbury, NJ 08096
Phone (856) 848-4464

1101 Chestnut St
Philadelphia, PA 19107
Phone (215) 955-4226

132 S 10th St
#480
Philadelphia, PA 19107
Phone (215) 955-3947

132 S 10th St
Fl 4
Philadelphia, PA 19107

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 5

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 5

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1427374941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 WALNUT ST",
            "address_2": "APT. 302",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075437",
            "telephone_number": "267-997-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073612",
            "telephone_number": "215-955-3947",
            "fax_number": "215-955-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD456930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.