Organization Active NPI

Scott D Smoller MD PA

  • Nephrology Physician
  • Plantation, FL
National Provider Identifier
1871505735
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0036893 Issued in FL
Legal business name
SCOTT D SMOLLER MD PA
Practice address
7520 NW 5TH St Ste 200
Plantation, FL 33317-1613
Phone
(954) 452-5188
Fax
(954) 474-0277
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Dr. Scott Smoller, M.D.NPI 1558361543
Title
President
Phone
(954) 452-5188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 0036893 FL Primary

Addresses

Primary practice location

7520 NW 5TH St Ste 200
Plantation, FL 33317-1613

Mailing address

1131 NW 101St Ave
Plantation, FL 33322-6514
Phone (954) 452-5188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070809000586 FL Part B Supplier - Clinic/Group Practice 6305937095 Receives reassigned benefits from 1 practitioner
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Locations

180 SW 84th Ave
Ste C
Plantation, FL 33324
Phone (954) 370-7036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1871505735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 NW 101ST AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226514",
            "telephone_number": "954-452-5188",
            "fax_number": "888-398-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 NW 5TH ST STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171613",
            "telephone_number": "954-452-5188",
            "fax_number": "954-474-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D SMOLLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "SMOLLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-452-5188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "0036893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.