TIMOTHY SMITH MD
NPI 1558002337
Student in an Organized Health Care Education/Training Program in Detroit, MI
NPI Status: Active since April 05, 2022
Contact Information
4160 JOHN R ST STE 1017
DETROIT, MI
ZIP 48201
Phone: (313) 745-4123
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About TIMOTHY SMITH
This page provides the complete NPI Profile along with additional information for Timothy Smith, a primary care provider established in Detroit, Michigan with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1558002337 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1558002337
- Provider Name
- TIMOTHY SMITH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4160 JOHN R ST STE 1017 DETROIT, MI 48201
- Location Phone
- (313) 745-4123
- Mailing Address
- 1290 HEIGHTS RD LAKE ORION, MI 48362
- Mailing Phone
- (269) 271-5257
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-05-2022
- Last Update Date
- 04-05-2022
- Code Navigator
A primary care provider (PCP) like Timothy Smith sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Timothy Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 5 | 8 | 0 | 0 | 2 | 3 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 0 | 0 | 4 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 0 + 0 + 4 + 3 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1558002337 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1295399160 | REGINE BALDAUFF SANCHEZ Individual | Student in an Organized Health Care Education/Training Program | 4160 JOHN R ST STE 1017 DETROIT, MI 48201 (313) 745-4123 |
| 1215557665 | MATTHEW SKALAK Individual | Student in an Organized Health Care Education/Training Program | 4160 JOHN R ST STE 1017 DETROIT, MI 48201 (313) 745-4123 |
| 1003497728 | LAUREN M NESI Individual | Student in an Organized Health Care Education/Training Program | 4160 JOHN R ST STE 1017 DETROIT, MI 48201 (313) 745-4123 |
| 1154902096 | SHANE ALAN DAUGHERTY Individual | Student in an Organized Health Care Education/Training Program | 4160 JOHN R ST STE 1017 DETROIT, MI 48201 (313) 745-4123 |
| 1386330728 | ANDREW H LANGE MD Individual | Student in an Organized Health Care Education/Training Program | 4160 JOHN R ST STE 1017 DETROIT, MI 48201 (313) 745-4123 |
| 1477202356 | DR. MELISSA ANDERSON-CHAVARRIA DO, PHD Individual | Student in an Organized Health Care Education/Training Program | 4160 JOHN R ST STE 1017 DETROIT, MI 48201 (973) 525-3758 |
| 1740976653 | ANDREW SHANHOLTZER MD Individual | Student in an Organized Health Care Education/Training Program | 4160 JOHN R ST STE 1017 DETROIT, MI 48201 (313) 745-4123 |
| 1710731591 | LOGAN RUBIN DO Individual | Student in an Organized Health Care Education/Training Program | 4160 JOHN R ST STE 1017 DETROIT, MI 48201 (313) 745-4123 |
| 1801642533 | ALI BAYDOUN MD Individual | Student in an Organized Health Care Education/Training Program | 4160 JOHN R ST STE 1017 DETROIT, MI 48201 (313) 745-4123 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558002337, enumerated in the NPI registry as an "individual" on April 05, 2022
The provider is located at 4160 John R St Ste 1017 Detroit, Mi 48201 and the phone number is (313) 745-4123
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 05, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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