WADE T SMITH (DO) – Anesthesiology Physician, NPI 1255363164

WADE T SMITH (DO) is a healthcare provider. based in West jordan, Utah. specializing in Anesthesiology Physician. They hold the professional credentials DO. They hold a License No. 6177042-1204 (UT). The NPI Number for WADE T SMITH (DO) is 1255363164

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
WADE T SMITH (DO)
NPI
1255363164
Phone
(801) 993-9527
Address
3580 W 9000 S
Enumeration Date
7 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8016624980
Graduation Year
2002 (24 years ago)
PAC ID
1355346966
Group Practice PAC ID
4385618578
Professional Enrollment ID
I20061003000236
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for WADE T SMITH (DO)

  • Jordan Valley Medical Center, 3580, 9000 South, Vista Plat, West Jordan, Salt Lake County, Utah, 84088, United States

    WEST JORDAN, UT 840888812

    Phone: (801) 993-9527

    Type: Location

  • Old Parley's Road Trail, East Bench, Salt Lake City, Salt Lake County, Utah, 84109, United States

    SALT LAKE CITY, UT 841093859

    Phone: (801) 910-0060

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $231.

Total Amount is formed as General ($231) + Research ($0) + Ownership ($0) = $231.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Masimo Corporation ($231).

Total Amount

$231

General + Research + Ownership

Payments

2

Total payment records

General Amount

$231

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Masimo Corporation$231
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: 2006-10-03

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
I20061003000236IAnesthesiologyUTTBD

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 84088)

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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: 4385618578View full group profile
NameSpecialtyState
-UT
-UT
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YTN
-UT
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YUT
-UT

Reviews

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Frequently asked questions

What number should I use to identify WADE T SMITH (DO) for billing?
Administrative and clinical systems typically use NPI 1255363164 for WADE T SMITH (DO).
Is WADE T SMITH (DO) currently accepting referrals based on NPI status?
Registry metadata lists WADE T SMITH (DO) as active.
What does the directory say WADE T SMITH (DO) does?
Insurance directories may phrase it differently, but here WADE T SMITH (DO) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit WADE T SMITH (DO) in West Jordan, Utah?
For routing, start with West Jordan, Utah for WADE T SMITH (DO), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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