KADEN ROBERT SMITH – Physician Assistant, NPI 1104195957

KADEN ROBERT SMITH is a healthcare provider. based in Orlando, Florida. specializing in Physician Assistant. They hold a License No. PA21807 (CA). The NPI Number for KADEN ROBERT SMITH is 1104195957

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
KADEN ROBERT SMITH
NPI
1104195957
Phone
(407) 650-7715
Address
1717 S Orange Ave
Enumeration Date
23 December 2011
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4079773500
Graduation Year
2011 (15 years ago)
PAC ID
1456519966
Group Practice PAC ID
3678562840
Professional Enrollment ID
I20160208001818
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for KADEN ROBERT SMITH

  • 1717 S Orange Ave

    Suite 100

    Orlando, FL 328062946

    Phone: (407) 650-7715

    Fax: (407) 567-5924

    Type: Location

  • PO BOX 191

    ROCKLAND, DE 197320191

    Phone: (302) 697-4127

    Fax: (302) 651-4945

    Type: Mailing

  • 1717 S ORANGE AVE

    SUITE 100

    ORLANDO, FL 328062946

    Phone: (407) 650-7715

    Fax: (407) 567-5924

    Type: Location

  • 2501 N ORANGE AVE STE 442

    ORLANDO, FL 328044644

    Phone: (407) 303-3692

    Fax: (407) 303-3634

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $509.

Total Amount is formed as General ($509) + Research ($0) + Ownership ($0) = $509.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Urgo Medical North America, LLC ($177).

Total Amount

$509

General + Research + Ownership

Payments

5

Total payment records

General Amount

$509

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

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: 2016-02-08

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
I20160208001818IPhysician AssistantFLTBD

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 32806)

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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: 3678562840View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryFL
P O D I A T R YFL
Physician AssistantFL
Occupational Therapist In Private PracticeFL
Physician AssistantFL
-FL
Pediatric Medicine, Sports MedicineFL
Physician AssistantFL
Physician AssistantGA
Orthopedic Surgery, Sports MedicineFL

Reviews

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Frequently asked questions

Can I verify KADEN ROBERT SMITH with an NPI only?
You can start verification with NPI 1104195957 for KADEN ROBERT SMITH, then check state licensing separately.
Is KADEN ROBERT SMITH listed as active for patients and plans?
The listing shows KADEN ROBERT SMITH as active in the NPI system.
What is KADEN ROBERT SMITH's primary classification?
Physician Assistant is the headline specialty for KADEN ROBERT SMITH here. Clinical services aligned with this taxonomy classification.
What area does KADEN ROBERT SMITH serve?
KADEN ROBERT SMITH's listing highlights Orlando, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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