NPIMap

Organization Active NPI

Diabetes and Endocrinology PA M Smith

  • Endocrinology, Diabetes & Metabolism Physician
  • Elkton, MD
National Provider Identifier
1437188703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D0052227 Issued in MD
Legal business name
DIABETES AND ENDOCRINOLOGY PA M SMITH
Practice address
303 Landing LN
Elkton, MD 21921-6613
Phone
(410) 392-9026
Fax
(410) 392-9024
NPI assigned
Jun 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Muhammad Suhail Smith, M.D.
Title
President
Phone
(410) 392-9026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D0052227 MD Primary

Addresses

Primary practice location

303 Landing LN
Elkton, MD 21921-6613

Mailing address

303 Landing LN
Elkton, MD 21921-6613
Phone (410) 392-9026

Other identifiers 7

IdentifierTypeStateIssuer
0001001402MedicaidDE
E237OtherMDCAREFIRST BLUECHOIC PIN #
E237OtherMDFEDERAL BCBS PIN #
710656OtherMDPERSONAL CHOICE PIN #
0477461000OtherMDAMERIHEALTH PIN #
350914OtherMDMAMSI LIFE & HEALTH PIN #
LL44DIOtherMDBCBS PIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040505001701 DE Part B Supplier - Clinic/Group Practice 7214925304 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE
O20070110000041 MD Part B Supplier - Clinic/Group Practice 7214925304 Receives reassigned benefits from 1 practitioner
Practice locations: Elkton, MD

National Provider Directory

National Provider Directory

Locations

2600 Glasgow Ave
Ste 103
Newark, DE 19702
Phone (302) 731-0001

303 Landing Ln
Elkton, MD 21921
Phone (410) 392-9026

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437188703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 LANDING LN",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216613",
            "telephone_number": "410-392-9026",
            "fax_number": "410-392-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 LANDING LN",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216613",
            "telephone_number": "410-392-9026",
            "fax_number": "410-392-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND ENDOCRINOLOGY PA M SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "SUHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-392-9026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0052227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001001402",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOIC PIN #",
            "identifier": "E237",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS PIN #",
            "identifier": "E237",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE PIN #",
            "identifier": "710656",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PIN #",
            "identifier": "0477461000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI LIFE & HEALTH PIN #",
            "identifier": "350914",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "LL44DI",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.