DR. ELIZABETH EMMALEE SMITH (MD) – Family Medicine Physician, NPI 1386383107

DR. ELIZABETH EMMALEE SMITH (MD) is a healthcare provider. based in Wichita, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 9411024 (KS). The NPI Number for DR. ELIZABETH EMMALEE SMITH (MD) is 1386383107

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH EMMALEE SMITH (MD)
NPI
1386383107
Phone
(316) 293-2665
Address
1010 N KANSAS ST
Enumeration Date
31 May 2022
Last Update Date
14 July 2024

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
6202226270
Graduation Year
2022 (4 years ago)
PAC ID
7911388343
Group Practice PAC ID
5294648937
Professional Enrollment ID
I20250530000780
Address ID
KS671562407WI1300XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for DR. ELIZABETH EMMALEE SMITH (MD)

  • 1010 N KANSAS ST

    WICHITA, KS 672143124

    Phone: (316) 293-2665

    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: 2025-05-30

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
I20250530000780IFamily PracticeKSTBD

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 67214)

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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: 5294648937View full group profile
NameSpecialtyState
Nurse PractitionerKS
Internal MedicineKS
Internal MedicineIL
Internal MedicineKS
Certified Registered Nurse Anesthetist (Crna)KS
General SurgeryKS
Nurse PractitionerKS
Obstetrics/Gynecology, Osteopathic Manipulative MedicineKS
Nurse PractitionerKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

Does DR. ELIZABETH EMMALEE SMITH (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ELIZABETH EMMALEE SMITH (MD) uses 1386383107.
Can I rely on DR. ELIZABETH EMMALEE SMITH (MD) being an active provider?
As of the registry snapshot, DR. ELIZABETH EMMALEE SMITH (MD) is marked active.
What is DR. ELIZABETH EMMALEE SMITH (MD)'s specialty?
The listing groups DR. ELIZABETH EMMALEE SMITH (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ELIZABETH EMMALEE SMITH (MD)?
DR. ELIZABETH EMMALEE SMITH (MD)'s geographic hint is Wichita, Kansas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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