Individual provider Active NPI

Samantha Smith, MD

  • Orthopaedic Surgery Physician
  • New Haven, CT
National Provider Identifier
1659716223
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
56521 Issued in CT
Practice address
800 Howard Ave FL 1
New Haven, CT 06519
Phone
(203) 785-2579
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 56521 CT
Pediatric Sports Medicine Physician 2080S0010X 56521 CT
Sports Medicine (Internal Medicine) Physician 207RS0010X 56521 CT
Pediatrics Physician 208000000X 56521 CT
Orthopaedic Surgery Physician 207X00000X 56521 CT Primary

Addresses

Primary practice location

800 Howard Ave FL 1
New Haven, CT 06519

Mailing address

Yale Department of Orthopedics and Rehabilitation
PO Box 208071
New Haven, CT 06520-8071

Other practice location 1

789 Howard Ave
Adult Primary Care Center
New Haven, CT 06519-1304
Phone (203) 785-7941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20170802003258 CT Practitioner - Pediatric MedicinePractitioner - Internal Medicine 5496053670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

789 Howard Ave
New Haven, CT 06519-1304
Phone (203) 688-2471

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Yale University Orthopaedic Surgery CurrentSince Jul 1, 2017 Accepting new patients
Yale University CurrentSince Jul 1, 2017 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Yale University Internal Medicine Current Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

15 York St
#1019B
New Haven, CT 06510

800 Howard Ave
Fl 1
New Haven, CT 06519
Phone (203) 785-4949

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

133 Scovill St
Ste 306307
Waterbury, CT 06706
Phone (203) 597-3667

Interoperability endpoints

  • Direct secure messaging: ssmith2998631@direct.trinity-health.org
  • Direct secure messaging: ssmith106277@direct.ynhh.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1659716223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "YALE DEPARTMENT OF ORTHOPEDICS AND REHABILITATION",
            "address_2": "PO BOX 208071",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE FL 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06519",
            "telephone_number": "203-785-2579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Howard Ave",
            "address_2": "Adult Primary Care Center",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191304",
            "country_code": "US",
            "telephone_number": "203-785-7941",
            "fax_number": "203-785-3922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "56521",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "CT",
            "license": "56521",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "CT",
            "license": "56521",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "56521",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "56521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.