Individual provider Active NPI

Katarzyna Marcia Smith, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1750800215
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C08354 Issued in MD
Practice address
1800 Orleans St # 5
Baltimore, MD 21287-0010
Phone
(410) 955-5340
Fax
(410) 614-9157
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6788 AZ
Physician Assistant 363A00000X C08354 MD Primary

Addresses

Primary practice location

1800 Orleans St # 5
Baltimore, MD 21287-0010

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

9305 W Thomas Rd Ste 485
Phoenix, AZ 85037-3371
Phone (623) 815-7800

Other practice location 2

9171 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4872
Phone (623) 815-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220616001019 MD Practitioner - Physician Assistant 7113293614 Reassigns benefits to 2 organizations
I20250606002604 NV Practitioner - Physician Assistant 7113293614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Izkhakov MD, PLLCGroup PAC ID 3971987090, 3 clinicians

Practice addresses (Care Compare)

5775 S Fort Apache Rd
Suite 120
Las Vegas, NV 89148-5627
Phone (702) 874-8414

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6788AZMDDiagnostic Radiology Physician
C08354MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jun 6, 2022 Accepting new patients
Johns Hopkins University CurrentSince Jun 6, 2022 Accepting new patients
Johns Hopkins University CurrentSince Jun 6, 2022 Accepting new patients
Johns Hopkins University CurrentSince Jun 6, 2022 Accepting new patients

Locations

1800 Orleans St
#5
Baltimore, MD 21287
Phone (410) 955-5340

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

600 N Wolfe St
Baltimore, MD 21287

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: katarzyna@ee-nv.direct.office.nextgen.com

Organizations & group practices 6

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1750800215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST # 5",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870010",
            "telephone_number": "410-955-5340",
            "fax_number": "410-614-9157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9305 W Thomas Rd Ste 485",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373371",
            "country_code": "US",
            "telephone_number": "623-815-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9171 W Thunderbird Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814872",
            "country_code": "US",
            "telephone_number": "623-815-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATARZYNA",
        "middle_name": "MARCIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6788",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C08354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.