DR. PHILLIP BRIAN SMITH MD
NPI 1790986776
Pediatrics - Neonatal-Perinatal Medicine in Durham, NC

NPI Status: Active since May 29, 2007

Contact Information

DUKE UNIVERSITY MEDICAL CTR
BOX 3179
DURHAM, NC
ZIP 27710
Phone: (919) 304-5778
Fax: (919) 681-6065

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  • Individual
  • Male
  • Pediatrics
  • Neonatal-Perinatal Medicine
  • Accepts Insurance
  • PECOS Enrolled

About PHILLIP SMITH

This page provides the complete NPI Profile along with additional information for Phillip Smith, a pediatrician established in Durham, North Carolina with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1790986776 assigned on May 2007. The practitioner's primary taxonomy code is 2080N0001X. The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1790986776
Provider Name
DR. PHILLIP BRIAN SMITH MD
Gender
Male
Entity Type
Individual
Location Address
DUKE UNIVERSITY MEDICAL CTR BOX 3179 DURHAM, NC 27710
Location Phone
(919) 304-5778
Location Fax
(919) 681-6065
Mailing Address
4117 N ROXBORO ST DURHAM, NC 27704
Mailing Phone
(919) 684-8111
Is Sole Proprietor?
No
Enumeration Date
05-29-2007
Last Update Date
10-05-2007
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A pediatrician like Phillip Smith is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics Neonatal-Perinatal Medicine

Taxonomy Code
2080N0001X
Type
Allopathic & Osteopathic Physicians
License State
NC
Taxonomy Description
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2066497MEDICARE PIN (08)NC 

Medicare Participation & PECOS Enrollment Status

Phillip 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

Reviews for DR. PHILLIP BRIAN SMITH MD

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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.
1790986776
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718018812714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 8 + 8 + 1 + 2 + 7 + 1 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1790986776 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245284884MRS. GAIL PACHARIS BROCK NP
Individual
Nurse Practitioner (Adult Health)DUKE UNIVERSITY MEDICAL CTR 7623B HOSPITAL NORTH BOX 3128
DURHAM, NC 27710
(919) 681-3810
1730126160MRS. KELLY HILL BLESSING FNP C
Individual
Nurse Practitioner (Family)DUKE UNIVERSITY MEDICAL CTR NEUROLOGY
DURHAM, NC 27710
(919) 684-8969
1508806407MR. NICHOLAS MARK HUDAK PA-C
Individual
Physician Assistant (Medical)DUKE UNIVERSITY MEDICAL CTR DUMC BOX 3894
DURHAM, NC 27710
(919) 684-8615
1891726790DR. DANIEL PAUL BARBORIAK M.D.
Individual
Radiology (Neuroradiology)DUKE UNIVERSITY MEDICAL CTR BOX 3808
DURHAM, NC 27710
(919) 684-7407
1538184940MRS. JENNIFER ANNE SULLIVAN MS, CGC
Individual
Genetic Counselor, MSDUKE UNIVERSITY MEDICAL CTR DUMC 3528
DURHAM, NC 27710
(919) 681-1991
1992711196DR. JARED DEAN CHRISTENSEN M.D.
Individual
Radiology (Diagnostic Radiology)DUKE UNIVERSITY MEDICAL CTR DEPT. OF RADIOLOGY, BOX 3808
DURHAM, NC 27710
(919) 684-7443
1295743466MRS. BLYTHE GREENE CRISSMAN MS, CGC
Individual
Genetic Counselor, MSDUKE UNIVERSITY MEDICAL CTR BOX 3528
DURHAM, NC 27710
(919) 681-1976
1124129168DR. JARED GOLLOB
Individual
Internal Medicine (Hematology & Oncology)DUKE UNIVERSITY MEDICAL CTR DUMC BOX 3441
DURHAM, NC 27710
(919) 971-1872
1679674238DR. DIANE GESTY-PALMER MD PHD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 684-8111
1487755047MRS. KIMBERLY CLARK NOLTE PA-C
Individual
Physician AssistantDUKE UNIVERSITY MEDICAL CTR BOX 3677
DURHAM, NC 27710
(919) 684-3748
1639261472 STEVEN D CROWLEY M.D.
Individual
Internal Medicine (Nephrology)DUKE UNIVERSITY MEDICAL CTR BOX 3014
DURHAM, NC 27710
(919) 286-6947
1922191188 SWATI AGRAWAL M.D.
Individual
Internal MedicineDUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1538258090 PATRICIA ALLUSHUSKI
Individual
Nurse Anesthetist, Certified RegisteredDUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1174612634 ASHLEY PIERACCINI NP
Individual
Internal Medicine (Hematology & Oncology)DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1700975265 REX BENTLEY M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1528157088 DAN BLAZER MD
Individual
Psychiatry & Neurology (Psychiatry)DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1386727535 MICHAEL DATTO M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1730262999 MICHAEL GUNN MD
Individual
Internal Medicine (Cardiovascular Disease)DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1295818433 MICHAEL BABYAK
Individual
Psychologist (Clinical)DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1013090257 MICHELLE BAILEY M.D.
Individual
PediatricsDUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790986776, enumerated in the NPI registry as an "individual" on May 29, 2007

The provider is located at Duke University Medical Ctr Box 3179 Durham, Nc 27710 and the phone number is (919) 304-5778

The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine

The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

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 May 29, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.