Individual provider Active NPI

Smita Gaikwad, M.D.

  • Pediatrics Physician
  • Coatesville, PA
National Provider Identifier
1609152248
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD464081 Issued in PA
Practice address
495 Highland Blvd
Coatesville, PA 19320-5822
Phone
(610) 384-9500
Fax
(610) 384-3998
NPI assigned
Oct 27, 2011
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD464081 PA Primary

Addresses

Primary practice location

495 Highland Blvd
Coatesville, PA 19320-5822

Mailing address

495 Highland Blvd
Coatesville, PA 19320-5822
Phone (610) 384-9500

Other identifiers 1

IdentifierTypeStateIssuer
-MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140108001992 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9638307184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD464081PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Pediatric Associates PC Pediatrics PastSince Mar 1, 2021 Accepting new patients
Children's Hospital of Philadelphia Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: smita.gaikwad@castoravenuepediatrics.chartmakerdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1609152248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 HIGHLAND BLVD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193205822",
            "telephone_number": "610-384-9500",
            "fax_number": "610-384-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HIGHLAND BLVD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193205822",
            "telephone_number": "610-384-9500",
            "fax_number": "610-384-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIKWAD",
        "first_name": "SMITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD464081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "-",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.