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Derrick Smith

Specialist β€’ Bronx, NY

Active NPI 1184384117 Individual Practitioner Male Practitioner
Practice location in NPPES

530 Tinton Ave
Bronx, NY 104554516

Call 6462311764 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

530 Tinton Ave

Bronx, NY 104554516

Telephone 6462311764

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bronx and New York

838 active clinicians are listed under Specialist with a practice address in Bronx, NY (22,926 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bronx

1.1% of these 838 clinicians have the CMS telehealth indicator.

2.1% of these 838 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-02
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES NY 1526590211

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 02, 2022

Registered at 530 TINTON AVE, BRONX, NY 104554516 (Tel: 6462311764)

πŸ“
Updated Business Mailing Address September 02, 2022

Registered at 530 TINTON AVE, BRONX, NY 104554516 (Tel: 6462311764)

βœ…
NPI Profile Active December 17, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 17, 2021

Registered at 3565 BIVONA ST APT 14J, BRONX, NY 104751433 (Tel: 3476926161)

πŸ“
Business Mailing Address (Initial Record) December 17, 2021

Registered at 3565 BIVONA ST APT 14J, BRONX, NY 104751433 (Tel: 3476926161)

πŸ‘€
Provider Name / Credentials (Initial Record) December 17, 2021

Recorded as DERRICK SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2021

Specialist (license number reported to NPPES: NY 1526590211)

🟒
Initial NPI Registration & Enumeration December 17, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184384117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2021
Last Update: September 02, 2022
Sole Proprietor: No

Other Specialists in Bronx

All Specialists in Bronx

Mailing Address

530 Tinton Ave

Bronx, NY 104554516

Phone: 6462311764

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.