Individual provider Active NPI

Erik C. Smith, MD

  • Gynecology Physician
  • Blue Bell, PA
National Provider Identifier
1922007699
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD074443 Issued in PA
Practice address
203 Canterbury CT
Blue Bell, PA 19422
Phone
(215) 919-4979
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD074443 PA
Gynecology Physician 207VG0400X MD074443 PA Primary

Addresses

Primary practice location

203 Canterbury CT
Blue Bell, PA 19422

Mailing address

203 Canterbury CT
Blue Bell, PA 19422-1279

Other identifiers 1

IdentifierTypeStateIssuer
0018651930011MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031106000376 PA Practitioner - Obstetrics/Gynecology 1052224045 Reassigns benefits to 1 organization
I20200114000327 NJ Practitioner - Obstetrics/Gynecology 1052224045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD074443PAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Pennsylvania PC Obstetrics & Gynecology CurrentSince Mar 21, 2019 Accepting new patients
DHP of Princeton, PA Obstetrics & Gynecology CurrentSince Jan 15, 2021 Accepting new patients
Richard F Pacropis MD PC Past Accepting new patients
Main Line Healthcare Obstetrics & Gynecology Past Accepting new patients

Locations

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

Organizations & group practices 4

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1922007699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CANTERBURY CT",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CANTERBURY CT",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "19422",
            "telephone_number": "215-919-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIK",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD074443",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD074443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018651930011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.