JOHNELLE R SMITH (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1023314143

JOHNELLE R SMITH (M.D.) is a healthcare provider. based in Brookline, Massachusetts. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials M.D.. They hold a License No. 4301078591 (MI). The NPI Number for JOHNELLE R SMITH (M.D.) is 1023314143

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
JOHNELLE R SMITH (M.D.)
NPI
1023314143
Phone
(617) 202-9222
Address
1180 BEACON ST
Enumeration Date
7 February 2011
Last Update Date
11 October 2016

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5088720700
Graduation Year
2001 (25 years ago)
PAC ID
1355629163
Group Practice PAC ID
1456483395
Professional Enrollment ID
I20161031000303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for JOHNELLE R SMITH (M.D.)

  • 1180 BEACON ST

    STE 3C

    BROOKLINE, MA 024463806

    Phone: (617) 202-9222

    Fax: (617) 879-0933

    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: 2016-10-31

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
I20161031000303IPhysical Medicine And RehabilitationMATBD

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
80307Testing for presence of drug, by chemistry analyzers76066$0
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms63459$0
99214Established patient office or other outpatient visit, 30-39 minutes34557$0
99215Established patient office or other outpatient visit, 40-54 minutes30156$0
G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms11124$0
View full utilization report →

Insurance plans in this area (ZIP 02446)

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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: 1456483395View full group profile

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Frequently asked questions

What federal number belongs to JOHNELLE R SMITH (M.D.)?
The federal identifier for JOHNELLE R SMITH (M.D.) is NPI 1023314143.
Is JOHNELLE R SMITH (M.D.)'s NPI currently valid?
The extract we use shows JOHNELLE R SMITH (M.D.) as active.
Does JOHNELLE R SMITH (M.D.) list a primary specialty?
If you are matching referrals, note Physical Medicine & Rehabilitation Physician for JOHNELLE R SMITH (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for JOHNELLE R SMITH (M.D.)?
The page summarizes Brookline, Massachusetts for JOHNELLE R SMITH (M.D.); expand the address list for detail.
What if Brookline, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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