Individual provider Active NPI

Khadian Smith

  • Family Nurse Practitioner
  • Blue Bell, PA
National Provider Identifier
1629531108
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020202 Issued in PA
Practice address
325 Sentry Pkwy E Ste 301
Blue Bell, PA 19422-2312
Phone
(267) 223-4241
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020202 PA Primary

Addresses

Primary practice location

325 Sentry Pkwy E Ste 301
Blue Bell, PA 19422-2312

Mailing address

325 Sentry Pkwy E Ste 301
Blue Bell, PA 19422-2312

Other practice location 1

1501 Biscayne Blvd
Miami, FL 33132-1449
Phone (877) 870-0323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191023000815 PA Practitioner - Nurse Practitioner 6709118847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excel Medical CenterGroup PAC ID 7315132537, 20 clinicians

Practice addresses (Care Compare)

7515 Stenton Ave
Philadelphia, PA 19150-3710
Phone (267) 335-5264

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
70
Promoting interoperability
93
Improvement activities
20
Cost
88.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP020202PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon of Health Family CurrentSince Jan 4, 2026 Accepting new patients
Excel Medical Center CurrentSince Dec 16, 2019 Accepting new patients

Locations

325 Sentry Pkwy E
Ste 301
Blue Bell, PA 19422
Phone (267) 223-4241

7515 Stenton Ave
Philadelphia, PA 19150
Phone (215) 842-5246

703 Cecil B Moore Ave
Philadelphia, PA 19122
Phone (215) 457-7246

208 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 849-3104

Interoperability endpoints

  • Direct secure messaging: khadian.smith.1@25233.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1629531108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SENTRY PKWY E STE 301",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SENTRY PKWY E STE 301",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222312",
            "telephone_number": "267-223-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331321449",
            "country_code": "US",
            "telephone_number": "877-870-0323",
            "fax_number": "866-427-3798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KHADIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.