Individual provider Active NPI

Pearish J Smith, MD

  • Family Medicine Physician
  • Winslow, AZ
National Provider Identifier
1619998200
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34591 Issued in AZ
Practice address
500 Indiana Ave
Winslow, AZ 86047-2169
Phone
(928) 289-4646
Fax
(928) 283-6231
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A66372 CA
Family Medicine Physician 207Q00000X A66372 CA
Family Medicine Physician 207Q00000X 34591 AZ Primary

Addresses

Primary practice location

500 Indiana Ave
Winslow, AZ 86047-2169

Mailing address

500 Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646

Other practice location 1

PO Box 1231
Tucson, AZ 85702-1231
Phone (520) 670-3909

Other identifiers 1

IdentifierTypeStateIssuer
494659MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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
I20040817000401 TX Practitioner - Family PracticePractitioner - Emergency Medicine 6103899257 Reassigns benefits to 4 organizations
I20160803001222 AZ Practitioner - Family Practice 6103899257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Florida College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Indiana Ave
Winslow, AZ 86047-2169

500 N Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646

SWC Navajo Route 15 and 60
1 Medical Center Dr
Dilkon, AZ 86047-2169
Phone (928) 289-4646

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66372CAMDEmergency Medicine Physician
34591AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winslow Indian Health Care Center, Inc Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Jan 8, 2020 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Nov 23, 2004 Accepting new patients
North Country Healthcare, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Mar 6, 2018 Accepting new patients
Tuba City Regional Health Care Corporation Emergency Medicine CurrentSince Nov 23, 2004 Accepting new patients
Dilkon Medical Center CurrentSince Jan 8, 2020 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
North Country Healthcare, Inc. Past Accepting new patients

Locations

300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441

500 Indiana Ave
Winslow, AZ 86047

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1619998200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 INDIANA AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472169",
            "telephone_number": "928-289-4646",
            "fax_number": "928-283-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 INDIANA AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472169",
            "telephone_number": "928-289-4646",
            "fax_number": "928-283-6231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 1231",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857021231",
            "country_code": "US",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PEARISH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A66372",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66372",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494659",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winslow, AZ

Sources for this page

Verify at the official NPI Registry.