KATHERYN M SMOLEN (MD) – Internal Medicine Physician, NPI 1811973688

KATHERYN M SMOLEN (MD) is a healthcare provider. based in Perrysburg, Ohio. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 35.074631 (OH). The NPI Number for KATHERYN M SMOLEN (MD) is 1811973688

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KATHERYN M SMOLEN (MD)
NPI
1811973688
Phone
(419) 661-4001
Address
30000 E RIVER RD
Enumeration Date
22 December 2005
Last Update Date
21 May 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
4193835550
Graduation Year
1999 (27 years ago)
PAC ID
5597659078
Group Practice PAC ID
8729983416
Professional Enrollment ID
I20090331000629
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for KATHERYN M SMOLEN (MD)

  • East River Road, Perrysburg, Wood County, Ohio, 43551, United States

    PERRYSBURG, OH 435513429

    Phone: (419) 661-4001

    Type: Mailing

  • 28276 KENSINGTON LN

    PERRYSBURG, OH 435514178

    Phone: (419) 843-4422

    Type: Mailing

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: 2013-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090331000629IInternal MedicineOHTBD
I20130201000220IInternal MedicineMITBD

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 43551)

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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: 8729983416View full group profile
NameSpecialtyState
-OH
P A T H O L O G YOH
General Surgery, Critical Care (Intensivists)MI
-OH
Nurse PractitionerOH
-OH
-OH
General SurgeryME
Vascular Surgery, General SurgeryMN
-OH

Reviews

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Frequently asked questions

Can I verify KATHERYN M SMOLEN (MD) with an NPI only?
You can start verification with NPI 1811973688 for KATHERYN M SMOLEN (MD), then check state licensing separately.
Is KATHERYN M SMOLEN (MD) listed as active for patients and plans?
The listing shows KATHERYN M SMOLEN (MD) as active in the NPI system.
What is KATHERYN M SMOLEN (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for KATHERYN M SMOLEN (MD) here. Clinical services aligned with this taxonomy classification.
Does KATHERYN M SMOLEN (MD) list a practice location?
Patients near Perrysburg, Ohio may find KATHERYN M SMOLEN (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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