ELTON JOHN SMITH (M.D.) – Psychiatry Physician, NPI 1679526784
Psychiatry Physician
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NPPES metrics only — not quality of care.
1,034 PSYCHIATRY in VA
Provider Addresses for ELTON JOHN SMITH (M.D.)
4641 ROOSEVELT BLVD
PHILA, PA 191242343
Phone: (215) 831-4600
Type: Mailing
220 Campus Blvd Ste 320
Winchester, VA 226012889
Phone: (540) 536-5100
Fax: (540) 536-0235
Type: Location
20201 Crawford Ave
Olympia Fields, IL 604611010
Phone: (219) 866-5141
Type: Location
130 S Bryn Mawr Ave
Bryn Mawr, PA 190103121
Phone: (484) 337-4286
Type: Location
424 Savannah Rd
Lewes, DE 199581462
Phone: (302) 645-3499
Fax: (302) 644-4830
Type: Location
1020 First Colonial Rd Ste A
Virginia Beach, VA 234543078
Phone: (757) 395-1850
Fax: (757) 222-9360
Type: Location
428 Biltmore Ave
Asheville, NC 288014502
Phone: (828) 213-4520
Fax: (828) 213-4540
Type: Location
4641 E ROOSEVELT BLVD
PHILA, PA 191242343
Phone: (215) 831-4600
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.
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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: 2024-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070509000526 | I | Psychiatry | PA | TBD |
| I20160602000997 | I | Psychiatry | WA | TBD |
| I20161014000050 | I | Psychiatry | NJ | TBD |
| I20170209001787 | I | Psychiatry | NC | TBD |
| I20170504000284 | I | Psychiatry | DE | TBD |
| I20181113001187 | I | Psychiatry | IL | TBD |
| I20201222000569 | I | Psychiatry | NY | TBD |
| I20210107000322 | I | Psychiatry | VA | TBD |
| I20210602000558 | I | Psychiatry | FL | TBD |
| I20241230000645 | I | Psychiatry | MD | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90792 | Psychiatric diagnostic evaluation with medical services | 62 | 62 | $0 |
Insurance plans in this area (ZIP 19124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Hospice/Palliative Care | NC | |
| - | NC | |
| - | FL | |
| Physician Assistant | NC | |
| - | NY | |
| - | NC | |
| Nurse Practitioner | NC | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Neurology, Psychiatry | NC | |
| Pulmonary Disease | NC |
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