Individual provider Active NPI

Madalyn Marie Smith

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1992430664
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95021723 Issued in CA
Practice address
1245 Wilshire Blvd Ste 703
Los Angeles, CA 90017-4807
Phone
(213) 977-0419
Fax
(213) 977-0225
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95021723 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd Ste 703
Los Angeles, CA 90017-4807

Mailing address

1245 Wilshire Blvd Ste 703
Los Angeles, CA 90017-4807
Phone (213) 977-0419

Other practice location 1

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (317) 750-4379

Other practice location 2

15725 Whittier Blvd Ste 500
Whittier, CA 90603-2350
Phone (562) 448-2338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221206000979 CA Practitioner - Nurse Practitioner 8729457262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

15725 Whittier Blvd
Whittier, CA 90603-2347
Phone (562) 947-1669

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Oct 1, 2022 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pih Health Physicians CurrentSince Oct 1, 2022 Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1245 Wilshire Blvd
Ste 703
Los Angeles, CA 90017
Phone (213) 977-0419

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

15725 Whittier Blvd
Whittier, CA 90603
Phone (562) 448-1350

15725 Whittier Blvd
Ste 500
Whittier, CA 90603
Phone (562) 448-1350

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: madalynsmith@pihh.allscriptsdirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1992430664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 703",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174807",
            "telephone_number": "213-977-0419",
            "fax_number": "213-977-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 703",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174807",
            "telephone_number": "213-977-0419",
            "fax_number": "213-977-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171901",
            "country_code": "US",
            "telephone_number": "317-750-4379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15725 Whittier Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906032350",
            "country_code": "US",
            "telephone_number": "562-448-2338",
            "fax_number": "562-464-5122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MADALYN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95021723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.