Individual provider Active NPI

Thomas Flynn Smith, MD

  • Procedural Dermatology Physician
  • Baltimore, MD
National Provider Identifier
1477542751
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
DOO61282 Issued in MD
Practice address
9101 Franklin Square Dr
Suite 308
Baltimore, MD 21237-3936
Phone
(410) 574-3100
Fax
(410) 574-3710
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X DOO61282 MD Primary

Addresses

Primary practice location

9101 Franklin Square Dr
Suite 308
Baltimore, MD 21237-3936

Mailing address

5233 King Ave
Ste 204
Baltimore, MD 21237-4003
Phone (410) 574-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20040712001472 MD Practitioner - Dermatology 8527046861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Poulton and Smith LLCGroup PAC ID 6002894342, 2 clinicians

Practice addresses (Care Compare)

5233 King Ave
Suite 204
Baltimore, MD 21237-4003
Phone (410) 574-3100

Merit-based Incentive Payment System (MIPS)

Final score
94.56 of 100Reported as individual
Quality
89.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision164
Removal of skin lesions2262
Removal or shaving of skin growth42
Skin biopsy888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOO61282MDMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Poulton & Smith LLC CurrentSince Jul 1, 2004 Accepting new patients

Locations

5233 King Ave
Ste 204
Rosedale, MD 21237
Phone (410) 574-3100

9101 Franklin Square Dr
Ste 308
Rosedale, MD 21237
Phone (301) 572-3100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1477542751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 KING AVE",
            "address_2": "STE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374003",
            "telephone_number": "410-574-3100",
            "fax_number": "410-574-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 FRANKLIN SQUARE DR",
            "address_2": "SUITE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373936",
            "telephone_number": "410-574-3100",
            "fax_number": "410-574-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "middle_name": "FLYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MD",
            "license": "DOO61282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.