Steven Alan Smith, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M10631 Issued in ID

Practice address

4740 N Penngrove Way Ste 210
Meridian, ID 83646-7447

Phone

(208) 514-0203

Fax

(855) 818-2019

NPI assigned

Oct 17, 2007

Last updated

Jan 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19555/brand/1/csg/1/fhir/r4
• Direct secure messaging: steven.smith.2@19555.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Medical Group, LLC

  dba Primary Health Medical Group

  • Family Medicine Physician
  • Boise, ID
  • NPI 1487326203
  NPD (past)
• Saint Alphonsus Regional Medical Center Inc

  • Psychiatric Hospital Unit
  • Boise, ID
  • NPI 1770687857
  NPD (past)
• Teton Radiology Madison LLC

  • Body Imaging Physician
  • Rexburg, ID
  • NPI 1407081060
  NPD (past)
• Thrive Pediatrics, LLC

  • Pediatrics Physician
  • Meridian, ID
  • NPI 1669934220
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1861681611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 N PENNGROVE WAY STE 210",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467447",
            "telephone_number": "208-514-0203",
            "fax_number": "855-818-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 N PENNGROVE WAY STE 210",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467447",
            "telephone_number": "208-514-0203",
            "fax_number": "855-818-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 E Phenomenal St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836421057",
            "country_code": "US",
            "telephone_number": "208-514-0203",
            "fax_number": "855-818-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVEN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M10631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lynn Smith, RN
• Michael R Smith, NP-C
• Rachael Eve Smith, PNP-PC
• Randall B Smith, D.M.D.
• Rhonda M Smith, MS CCC-SLP
• Todd Robert Smith, MD
• Troy Alan Smith, DDS
• Zachary Smith, DMD
• Mollie Smolkowski, LMSW
• Erika Smollack, LMT

• Pediatrics Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Pediatrics Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.