DR. DOUGLAS SMITH (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1518285725

DR. DOUGLAS SMITH (M.D.) is a healthcare provider. based in Saint paul, Minnesota. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. MT202293 (PA). The NPI Number for DR. DOUGLAS SMITH (M.D.) is 1518285725

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS SMITH (M.D.)
NPI
1518285725
Phone
(215) 590-1722
Address
225 SMITH AVE N
Enumeration Date
12 May 2010
Last Update Date
3 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512415290
Graduation Year
2010 (16 years ago)
PAC ID
6800156084
Group Practice PAC ID
6709771363
Professional Enrollment ID
I20180208000304
Address ID
MN551131306RO2720XNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:16State licenses:2Digital endpointsOther names

640 NEUROLOGY in MN

Provider Addresses for DR. DOUGLAS SMITH (M.D.)

  • 225 SMITH AVE N

    STE 201

    SAINT PAUL, MN 551022533

    Phone: (215) 590-1722

    Type: Mailing

  • 2720 FAIRVIEW AVE N STE 100

    ROSEVILLE, MN 551131306

    Phone: (651) 241-5290

    Fax: (651) 241-5140

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $23,085.

Total Amount is formed as General ($23,085) + Research ($0) + Ownership ($0) = $23,085.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: UCB, Inc. ($19,318).

Total Amount

$23,085

General + Research + Ownership

Payments

30

Total payment records

General Amount

$23,085

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-02-08

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
I20180208000304INeurologyMNTBD

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 55102)

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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: 6709771363View full group profile
NameSpecialtyState
N E U R O L O G YMN
Clinical PsychologistMN
Physician AssistantMN
-MN
Physician AssistantMN
Clinical PsychologistMN
Nurse PractitionerMN
N E U R O L O G YMN
Physician AssistantMN
N E U R O L O G YMN

Reviews

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Frequently asked questions

What is the standard ID for DR. DOUGLAS SMITH (M.D.) in the U.S.?
In the U.S., DR. DOUGLAS SMITH (M.D.) is identified by NPI 1518285725.
Does the public listing show DR. DOUGLAS SMITH (M.D.) as active?
DR. DOUGLAS SMITH (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. DOUGLAS SMITH (M.D.)?
NPPES ties DR. DOUGLAS SMITH (M.D.) to Neurology with Special Qualifications in Child Neurology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. DOUGLAS SMITH (M.D.) tied to Saint Paul, Minnesota?
If you are local to Saint Paul, Minnesota, DR. DOUGLAS SMITH (M.D.) may be relevant to your search.
Who maintains DR. DOUGLAS SMITH (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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