Individual provider Active NPI

Edward Sidney Smith, MD

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1740571256
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME118968 Issued in FL
Practice address
815 NE 76TH St
Miami, FL 33138-5212
Phone
(305) 206-4911
NPI assigned
May 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME118968 FL Primary

Addresses

Primary practice location

815 NE 76TH St
Miami, FL 33138-5212

Mailing address

815 NE 76TH St
Miami, FL 33138-5212
Phone (305) 206-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140619001935 FL Practitioner - Emergency Medicine 8820223829 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

1100 NW 95 St
Miami, FL 33150-2038
Phone (305) 835-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME118968FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Emergency Medicine of Broward LLC Emergency Medicine Current Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jun 25, 2018 Accepting new patients
Phoenix Emergency Medicine of Broward LLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Phoenix Emergency Medicine of Broward LLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
FL-I Medical Services, LLC Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

Organizations & group practices 7

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 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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1740571256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NE 76TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331385212",
            "telephone_number": "305-206-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NE 76TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331385212",
            "telephone_number": "305-206-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDWARD",
        "middle_name": "SIDNEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME118968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.