DR. ANDREA DAWN SMITH (M.D.) – Dermatology Physician, NPI 1801064969

DR. ANDREA DAWN SMITH (M.D.) is a healthcare provider. based in Loma linda, California. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials M.D.. They hold a License No. MD60650348 (WA). The NPI Number for DR. ANDREA DAWN SMITH (M.D.) is 1801064969

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREA DAWN SMITH (M.D.)
NPI
1801064969
Phone
(909) 558-2890
Address
11370 ANDERSON ST
Enumeration Date
12 February 2008
Last Update Date
24 June 2022

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3602915700
Graduation Year
2006 (20 years ago)
PAC ID
9234280058
Group Practice PAC ID
7810386679
Professional Enrollment ID
I20170428000393
Address ID
WA983706667PO21800NWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for DR. ANDREA DAWN SMITH (M.D.)

  • 11370, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States

    SUITE 2600

    LOMA LINDA, CA 923543450

    Phone: (909) 558-2890

    Fax: (909) 558-2891

    Type: Mailing

  • Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States

    LOMA LINDA, CA 923542804

    Phone: (909) 558-2890

    Fax: (909) 558-2891

    Type: Location

  • 21800 MARKET PL NW STE 103

    POULSBO, WA 983706667

    Phone: (360) 291-5700

    Fax: (360) 291-5702

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $927.

Total Amount is formed as General ($927) + Research ($0) + Ownership ($0) = $927.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($376).

Total Amount

$927

General + Research + Ownership

Payments

46

Total payment records

General Amount

$927

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-04-28

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
I20170428000393IDermatologyWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths40358$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks271231$0
99213Established patient office or other outpatient visit, 20-29 minutes216169$0
11102Biopsy of related skin growth, first growth170132$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks163117$0
View full utilization report →

Insurance plans in this area (ZIP 92354)

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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: 7810386679View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerAK
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ANDREA DAWN SMITH (M.D.)?
DR. ANDREA DAWN SMITH (M.D.) — NPI 1801064969 — is the standard way to identify this listing.
Is DR. ANDREA DAWN SMITH (M.D.) still practicing?
DR. ANDREA DAWN SMITH (M.D.) is currently listed as active in the public NPI registry.
What is DR. ANDREA DAWN SMITH (M.D.)'s specialty?
The listing groups DR. ANDREA DAWN SMITH (M.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. ANDREA DAWN SMITH (M.D.) serve?
DR. ANDREA DAWN SMITH (M.D.)'s listing highlights Loma Linda, California; more addresses can appear in NPPES.
Why does DR. ANDREA DAWN SMITH (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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