ROXANNE ALLISON SMITH (MD) – Internal Medicine Physician, NPI 1154403293

ROXANNE ALLISON SMITH (MD) is a healthcare provider. based in Honolulu, Hawaii. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD-21545 (HI). The NPI Number for ROXANNE ALLISON SMITH (MD) is 1154403293

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
ROXANNE ALLISON SMITH (MD)
NPI
1154403293
Phone
(808) 691-1000
Address
1301 PUNCHBOWL ST
Enumeration Date
19 October 2006
Last Update Date
8 October 2025

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8083328523
Graduation Year
1995 (31 years ago)
PAC ID
4385625383
Group Practice PAC ID
1759271216
Professional Enrollment ID
I20220621003013
Address ID
HI967412001KA4489XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

818 INTERNAL MEDICINE in HI

Provider Addresses for ROXANNE ALLISON SMITH (MD)

  • 1301 PUNCHBOWL ST

    HONOLULU, HI 968132499

    Phone: (808) 691-1000

    Type: Mailing

  • 2228 Liliha St Ste 407

    Honolulu, HI 968171654

    Phone: (832) 604-3771

    Type: Location

  • 1050 BISHOP ST STE 127

    HONOLULU, HI 968134210

    Phone: (808) 927-7793

    Type: Mailing

  • 600 ALA MOANA BLVD APT 1902

    HONOLULU, HI 968134954

    Phone: (808) 927-7793

    Type: Location

  • Howard University Hospital, 2041, Georgia Avenue Northwest, 9th St NW-13th St NW, Washington DC, Washington, Washington, D.C., 20060, United States

    TOWER 6101

    WASHINGTON, DC 200013027

    Phone:

    Type: Mailing

  • North Avenue, North Harris Street Historic District, Sandersville, Washington County, Georgia, 31082, United States

    WASHINGTON, DC 200600001

    Phone: (202) 865-3290

    Fax: (202) 865-3833

    Type: Location

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: 2022-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20040526000561IInternal MedicineDCTBD
I20190515000965IHospitalistMDTBD
I20210303001215IHospitalistHITBD
I20220621003013IInternal MedicineHITBD

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 96813)

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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: 1759271216View full group profile
NameSpecialtyState
Pediatric MedicineHI
Family PracticeHI
General SurgeryAZ
Diagnostic RadiologyOR
Physician AssistantCA
Nurse PractitionerHI
Internal MedicineHI
P O D I A T R YOK
Nurse PractitionerOH
Internal Medicine, GastroenterologyWA

Reviews

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Frequently asked questions

What unique ID ties claims to ROXANNE ALLISON SMITH (MD)?
NPI 1154403293 is assigned to ROXANNE ALLISON SMITH (MD) under the national enumeration system.
Is ROXANNE ALLISON SMITH (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ROXANNE ALLISON SMITH (MD) work in?
You can think of ROXANNE ALLISON SMITH (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for ROXANNE ALLISON SMITH (MD)?
We surface Honolulu, Hawaii for ROXANNE ALLISON SMITH (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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