Individual provider Active NPI

Perry Mark Smith, M.D.

  • Neurology Physician
  • Bethesda, MD
National Provider Identifier
1831373059
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0073865 Issued in MD
Practice address
6410 Rockledge Dr Ste 610
Bethesda, MD 20817-1844
Phone
(301) 530-9744
NPI assigned
Dec 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 048544 CT
Neurology Physician 2084N0400X D0073865 MD Primary

Addresses

Primary practice location

6410 Rockledge Dr Ste 610
Bethesda, MD 20817-1844

Mailing address

6410 Rockledge Dr Ste 610
Bethesda, MD 20817-1844
Phone (301) 530-9744

Other identifiers 2

IdentifierTypeStateIssuer
058505800MedicaidDC
321514800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20120622000444 DC Practitioner - Neurology 6002071149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Connecticut School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Epilepsy and Sleep Center LLCGroup PAC ID 6608217773, 8 clinicians

Practice addresses (Care Compare)

6410 Rockledge Dr
Suite 610
Bethesda, MD 20817-1844
Phone (301) 530-9745

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.48 of 100Reported as group
Promoting interoperability
91
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048544CTMDNeurology Physician
D0073865MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Epilepsy & Sleep Center LLC Neurology CurrentSince Mar 20, 2024 Accepting new patients
Pavel Klein Neurology Past Accepting new patients

Locations

6410 Rockledge Dr
Ste 610
Bethesda, MD 20817
Phone (301) 530-9744

1400 Forest Glen Rd
Ste 225
Silver Spring, MD 20910
Phone (301) 456-5810

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7347/brand/1/csg/1/fhir/r4
  • Direct secure messaging: psmith454789@direct.hopkinsmedicine.org

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.

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1831373059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR STE 610",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171844",
            "telephone_number": "301-530-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR STE 610",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171844",
            "telephone_number": "301-530-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PERRY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "048544",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0073865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058505800",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321514800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.