Active NPI
John M Smyles, M.D.
- Radiation Oncology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD029250E
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0448826 | Other | PA | BLUE SHIELD |
| 058221000 | Other | PA | INDEPENDECE BLUE CROSS |
| 0014681570003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD029250E | PA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Pennsylvania Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current | Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Radiation Oncologists PA | Radiation Oncology | Current | 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.
-
- Radiation Oncology Physician
- Newark, DE
- NPI 1710917968
DE, PA, Radiation Oncology
-
- Cardiovascular Disease Physician
- West Grove, PA
- NPI 1659547560
PA
-
- Cardiovascular Disease Physician
- Chadds Ford, PA
- NPI 1689001448
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Clinical Psychologist
- Chadds Ford, PA
- NPI 1194565374
-
- Surgery Physician
- Glen Mills, PA
- NPI 1871465419
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.