DR. MARK SMITH (AUD) – Audiologist, NPI 1376568477

DR. MARK SMITH (AUD) is a healthcare provider. based in Fresno, California. specializing in Audiologist. They hold the professional credentials AUD. They hold a License No. AU2487 (CA). The NPI Number for DR. MARK SMITH (AUD) is 1376568477

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK SMITH (AUD)
NPI
1376568477
Phone
(559) 432-5973
Address
1350 E SPRUCE AVE # 130
Enumeration Date
12 July 2006
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5594485640
Graduation Year
2006 (20 years ago)
PAC ID
3678577293
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20081114000338

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. MARK SMITH (AUD)

  • East Spruce Avenue, Fresno, Fresno County, California, 03619, United States

    FRESNO, CA 937203373

    Phone: (559) 432-5973

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081114000338IQualified AudiologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93720)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What is the registry number for DR. MARK SMITH (AUD)?
The registry entry for DR. MARK SMITH (AUD) shows NPI 1376568477.
Does the public listing show DR. MARK SMITH (AUD) as active?
DR. MARK SMITH (AUD)'s NPI record reflects an active status in NPPES.
What services align with DR. MARK SMITH (AUD)'s listing?
DR. MARK SMITH (AUD)'s public classification highlights Audiologist. Clinical services aligned with this taxonomy classification.
Is DR. MARK SMITH (AUD) tied to Fresno, California?
If you are local to Fresno, California, DR. MARK SMITH (AUD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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