Active NPI
Elizabeth Ellen Smith, M.D.
- Family Medicine Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 49744
- Practice address
- 1124 E McKellips Rd Ste 110
Mesa, AZ 85203-2766 - Phone
- (480) 882-7370
- Fax
- (480) 649-2832
- NPI assigned
- May 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 49744 | AZ | Primary |
Addresses
Primary practice location
1124 E McKellips Rd Ste 110
Mesa, AZ 85203-2766
Mailing address
7301 E 2ND St
Ste 210
Scottsdale, AZ 85251-5600
Phone (480) 882-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1124 E McKellips Rd
Suite 110
Mesa, AZ 85203-2766
Phone (855) 485-4673
Hospital & facility affiliations
- Honorhealth Scottsdale Osborn Medical Center
- Honor Health John C. Lincoln Medical Center
- Banner Gateway Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Scottsdale Healthcare Corp | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Family Medicine | Past | Accepting new patients |
Locations
6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348
1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509
10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030
7301 E 2nd St
Ste 210
Scottsdale, AZ 85251
Phone (480) 534-4515
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
Interoperability endpoints
- esmith38942@direct.honorhealth.com
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
- Radiologic Technologist
- Anthem, AZ
- NPI 1518235381
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1023382041
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1679876601
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1952694036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 E 2ND ST",
"address_2": "STE 210",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515600",
"telephone_number": "480-882-4545",
"fax_number": "480-946-6997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 E MCKELLIPS RD STE 110",
"city": "MESA",
"state": "AZ",
"postal_code": "852032766",
"telephone_number": "480-882-7370",
"fax_number": "480-649-2832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ELIZABETH",
"middle_name": "ELLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-23",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "49744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.