Individual provider Active NPI

John M Smyles, M.D.

  • Radiation Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1992856256
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD029250E Issued in PA
Practice address
2601 Holme Ave
Philadelphia, PA 19152-2007
Phone
(215) 335-6144
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD029250E PA Primary

Addresses

Primary practice location

2601 Holme Ave
Philadelphia, PA 19152-2007

Mailing address

1 W Elm St
Conshohocken, PA 19428-4108
Phone (215) 830-9991

Other identifiers 3

IdentifierTypeStateIssuer
0448826OtherPABLUE SHIELD
058221000OtherPAINDEPENDECE BLUE CROSS
0014681570003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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
I20100428000469 PA Practitioner - Radiation Oncology 7517094238 Reassigns benefits to 3 organizations
I20200129002324 DE Practitioner - Radiation Oncology 7517094238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Howard University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncologists, PAGroup PAC ID 5597727693, 12 clinicians
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians

Practice addresses (Care Compare)

161 Wilimington W Chester Pike
Chadds Ford, PA 19317-9041
Phone (610) 361-1170

4755 Ogletown Stanton Rd
Newark, DE 19718-0002
Phone (302) 733-1830

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD029250EPAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Pennsylvania Inc CurrentSince May 12, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 14, 2019 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Pennsylvania Inc Current Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince May 12, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 14, 2019 Accepting new patients
Radiation Oncologists PA Radiation Oncology CurrentSince Oct 16, 2019 Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

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.

Hospital & facility affiliations 1

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1992856256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284108",
            "telephone_number": "215-830-9991",
            "fax_number": "215-830-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522007",
            "telephone_number": "215-335-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYLES",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD029250E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0448826",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDECE BLUE CROSS",
            "identifier": "058221000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014681570003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.