Individual provider Active NPI

Sheila D Smith, MD

  • Neurology Physician
  • Seattle, WA
National Provider Identifier
1487859708
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD00048171 Issued in WA
Practice address
515 Minor Ave
Suite 210
Seattle, WA 98104-2120
Phone
(206) 386-9500
Fax
(206) 386-9605
NPI assigned
Jun 18, 2007
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD00048171 WA Primary

Addresses

Primary practice location

515 Minor Ave
Suite 210
Seattle, WA 98104-2120

Mailing address

515 Minor Ave
Suite 220
Seattle, WA 98104-2120
Phone (206) 386-9595

Other identifiers 5

IdentifierTypeStateIssuer
9564SMOtherWAREGENCE
5796SMOtherWAREGENCE
8489932MedicaidWA
223737OtherWALABOR & INDUSTRY
P00429929OtherWAPALMETTO RR MEDICARE

Other names 1

  • Sheila A Duffy Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ssmith274235@wm.providencedirect.org
Direct Messaging Address ssmith274235@wm.providencedirect.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070912000164 WA Practitioner - Neurology 7911090519 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rush Medical College of Rush University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians

Practice addresses (Care Compare)

Seattle, WA 98109

Seattle, WA 98118

Seattle, WA 98119
Phone (206) 233-7489

Seattle, WA 98177

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5072

12040 NE 128TH St
Ms 105
Kirkland, WA 98034-3013
Phone (425) 899-2560

1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460

380 Chase Ave
Walla Walla, WA 99362-2924
Phone (509) 897-3333

4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330

5300 Tallman Ave NW
4 North
Seattle, WA 98107-3932

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00048171WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jan 20, 2020 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services- Washington CurrentSince Jan 20, 2020 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 20, 2020 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 20, 2020 Accepting new patients
Providence Health & Services Mt CurrentSince Jan 20, 2020 Accepting new patients
Providence Medical Institute CurrentSince Jan 20, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 20, 2020 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Aug 7, 2019 Accepting new patients
King County Public Hospital District No 2 CurrentSince Aug 7, 2019 Accepting new patients
Swedish Health Services CurrentSince Dec 1, 2009 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 20, 2020 Accepting new patients
Providence Medical Institute CurrentSince Jan 20, 2020 Accepting new patients
Overlake Medical Clinics, LLC Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 20, 2020 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Nov 3, 2021 Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 20, 2020 Accepting new patients
King County Public Hospital District No 2 Past Accepting new patients

Locations

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

12040 NE 128th St
#105
Kirkland, WA 98034
Phone (425) 899-2560

971 11th Ave
Longview, WA 98632
Phone (360) 423-6140

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

515 Minor Ave
Ste 210
Seattle, WA 98104
Phone (206) 340-1800

5300 Tallman Ave NW
#4
Seattle, WA 98107
Phone (206) 297-5100

550 17th Ave
Ste 110
Seattle, WA 98122
Phone (206) 320-3470

550 17th Ave
Ste 400
Seattle, WA 98122
Phone (206) 320-3278

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 5th Ave
#P100
Seattle, WA 98104
Phone (206) 320-3351

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

Interoperability endpoints

  • Direct secure messaging: ssmith274235@wm.providencedirect.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 3

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1487859708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE",
            "address_2": "SUITE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042120",
            "telephone_number": "206-386-9595",
            "fax_number": "206-576-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE",
            "address_2": "SUITE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042120",
            "telephone_number": "206-386-9500",
            "fax_number": "206-386-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHEILA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD00048171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "9564SM",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5796SM",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8489932",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "223737",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "P00429929",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssmith274235@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "550 17th Ave Ste 400",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981225789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssmith274235@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "550 17th Ave Ste 110",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981225789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "DUFFY",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.