Active NPI
Irina Viktorovna Smith, MD
- Pediatrics Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME131181
- Practice address
- 9611 W Broward Blvd
Plantation, FL 33324-2334 - Phone
- (954) 424-7000
- Fax
- (954) 424-6003
- NPI assigned
- Jun 12, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME131181 | FL | Primary |
Addresses
Primary practice location
9611 W Broward Blvd
Plantation, FL 33324-2334
Mailing address
9611 W Broward Blvd
Plantation, FL 33324-2334
Phone (954) 424-7000
Other practice location 1
11260 Sullivan St
Riverview, FL 33578-2140
Phone (813) 689-7571
Other practice location 2
4972 Town Center Pkwy Unit 301
Jacksonville, FL 32246-8596
Phone (904) 642-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019994600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Pinellas Inc. | Current | Accepting new patients | |
| Community Health Center of Pinellas Inc | Current | Accepting new patients | |
| Community Health Centers of Pinellas Inc. | Pediatrics | Current | Accepting new patients |
Locations
707 Druid Rd E
Clearwater, FL 33756
Phone (727) 441-8963
14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224
14100 58th St N
Clearwater, FL 33760
Interoperability endpoints
- irina.smith.1@21123.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Evara Health
- Federally Qualified Health Center (FQHC)
- Clearwater, FL
- NPI 1467873315
-
dba Evara Health
- Federally Qualified Health Center (FQHC)
- St Petersburg, FL
- NPI 1013669878
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1992067383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9611 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242334",
"telephone_number": "954-424-7000",
"fax_number": "954-424-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9611 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242334",
"telephone_number": "954-424-7000",
"fax_number": "954-424-6003"
}
],
"practiceLocations": [
{
"address_1": "11260 Sullivan St",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335782140",
"country_code": "US",
"telephone_number": "813-689-7571",
"fax_number": "813-654-8129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4972 Town Center Pkwy Unit 301",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322468596",
"country_code": "US",
"telephone_number": "904-642-6100",
"fax_number": "904-642-5154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "IRINA",
"middle_name": "VIKTOROVNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME131181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019994600",
"state": "FL"
}
],
"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 Jan 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.