DR. DANIEL EDWARD JR. SMITH (M.D.) – Psychiatry Physician, NPI 1164406534

DR. DANIEL EDWARD JR. SMITH (M.D.) is a healthcare provider. based in Aurora, Colorado. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. MD023769 (TN). The NPI Number for DR. DANIEL EDWARD JR. SMITH (M.D.) is 1164406534

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL EDWARD JR. SMITH (M.D.)
NPI
1164406534
Phone
(303) 338-4545
Address
2500 S HAVANA ST
Enumeration Date
30 November 2005
Last Update Date
13 December 2023

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3033384545
Graduation Year
1987 (39 years ago)
PAC ID
5496177024
Group Practice PAC ID
1254238454
Professional Enrollment ID
I20200626001453

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

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Provider Addresses for DR. DANIEL EDWARD JR. SMITH (M.D.)

  • Kaiser Permanente, 2500, South Havana Street, Aurora, Arapahoe County, Colorado, 80014, United States

    AURORA, CO 800141618

    Phone: (303) 338-4545

    Type: Mailing

  • Kaiser Permanente Hidden Lake Medical Offices, 7701, Sheridan Boulevard, Westminster, Jefferson County, Colorado, 80003, United States

    WESTMINSTER, CO 800032605

    Phone: (303) 338-4545

    Type: Location

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    Type: Mailing

  • 5146 HIGHWAY 18

    PACHUTA, MS 393475031

    Phone: (865) 246-8543

    Type: Mailing

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: 2024-03-11

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
I20240311002358IPsychiatryMSTBD

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 80014)

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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: 1254238454View full group profile
NameSpecialtyState
Nurse PractitionerCO
-CO
Physical Therapist In Private PracticeCO
-CO
-CO
-CO
Cardiovascular Disease (Cardiology)CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Family PracticeCO

Reviews

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Frequently asked questions

Is there an official ID for DR. DANIEL EDWARD JR. SMITH (M.D.) in U.S. healthcare records?
The official identifier for DR. DANIEL EDWARD JR. SMITH (M.D.) is NPI 1164406534.
Would DR. DANIEL EDWARD JR. SMITH (M.D.) appear as active to a payer?
You can treat DR. DANIEL EDWARD JR. SMITH (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. DANIEL EDWARD JR. SMITH (M.D.)?
At a glance, DR. DANIEL EDWARD JR. SMITH (M.D.) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. DANIEL EDWARD JR. SMITH (M.D.) located near Aurora?
DR. DANIEL EDWARD JR. SMITH (M.D.) currently maps to Aurora, Colorado in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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