Individual provider Active NPI

Amy Miller Smith, M.D.

  • Internal Medicine Physician
  • Wynnewood, PA
National Provider Identifier
1821215567
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD431430 Issued in PA
Practice address
100 E Lancaster Ave
Lankenau Mob East Suite 450
Wynnewood, PA 19096-3450
Phone
(610) 896-0648
Fax
(610) 642-1690
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD431430 PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
Lankenau Mob East Suite 450
Wynnewood, PA 19096-3450

Mailing address

100 E Lancaster Ave
Lankenau Hospital Mob East Suite 450
Wynnewood, PA 19096-3450
Phone (610) 896-0648

Other names 1

  • Amy Rebecca Miller Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000137 PA Practitioner - Internal Medicine 7113016270 Reassigns benefits to 1 organization
Practice locations: Wynnewood, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 E Lancaster Ave
Suite 200
Wynnewood, PA 19096-3430
Phone (610) 896-0648

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Medicine, PC Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients

Locations

100 E Lancaster Ave
Bldg W
Wynnewood, PA 19096
Phone (610) 642-8555

100 E Lancaster Ave
Ste 450
Wynnewood, PA 19096
Phone (610) 896-0648

100 E Lancaster Ave
Ste 450MOBE
Wynnewood, PA 19096

6 E Lancaster Ave
Ste 200
Wynnewood, PA 19096
Phone (610) 896-0648

Interoperability endpoints

  • Direct secure messaging: amy.smith@sm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHGBBA/Endpoint/HHGBBA

Organizations & group practices 1

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 5

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1821215567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "LANKENAU HOSPITAL MOB EAST SUITE 450",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-896-0648",
            "fax_number": "610-642-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "LANKENAU MOB EAST SUITE 450",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-896-0648",
            "fax_number": "610-642-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD431430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MILLER",
            "middle_name": "REBECCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.