JAMES DOUGLAS SMITH MD
NPI 1801883335
Internal Medicine - Nephrology in New Haven, CT
NPI Status: Active since September 30, 2005
Contact Information
136 SHERMAN AVE
STE 405
NEW HAVEN, CT
ZIP 06511
Phone: (203) 787-0117
Fax: (203) 777-3559
- Individual
- Male
- Internal Medicine
- Nephrology
- PECOS Enrolled
About JAMES SMITH
This page provides the complete NPI Profile along with additional information for James Smith, an internist established in New Haven, Connecticut with a medical specialization in Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1801883335 assigned on September 2005. The practitioner's primary taxonomy code is 207RN0300X with license number 21406 (CT). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1801883335
- Provider Name
- JAMES DOUGLAS SMITH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 136 SHERMAN AVE STE 405 NEW HAVEN, CT 06511
- Location Phone
- (203) 787-0117
- Location Fax
- (203) 777-3559
- Mailing Address
- 136 SHERMAN AVE STE 405 NEW HAVEN, CT 06511
- Mailing Phone
- (203) 787-0117
- Mailing Fax
- (203) 777-3559
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-30-2005
- Last Update Date
- 10-11-2011
- Code Navigator
An internist like James Smith is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 21406
- License State
- CT
- Taxonomy Description
- An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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 |
|---|---|---|---|
| 001214064 | MEDICAID (05) | CT | |
| D88788 | MEDICARE UPIN (02) | ||
| 390000147 | MEDICARE PIN (08) | CT |
Medicare Participation & PECOS Enrollment Status
James 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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF008N)
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each (HCPCS:A4351)
1 DME suppliers used 11 Medicare Claims 2200 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06511 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.84
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $106.68
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $26.67
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for JAMES DOUGLAS SMITH MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 8 | 0 | 1 | 8 | 8 | 3 | 3 | 3 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 16 | 8 | 6 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 1 + 6 + 8 + 6 + 3 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1801883335 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1982699799 | PETER H JUERGENSEN PA C Individual | Physician Assistant | 136 SHERMAN AVE SUITE 405 NEW HAVEN, CT 06511 (203) 787-0117 |
| 1750376455 | LISA CANTEY PA-C Individual | Physician Assistant | 136 SHERMAN AVE SUITE 405 NEW HAVEN, CT 06511 (203) 787-0117 |
| 1942296249 | SALLY HALLORAN RN Individual | Registered Nurse | 136 SHERMAN AVE SUITE 405 NEW HAVEN, CT 06511 (203) 787-0117 |
| 1760478077 | JONI H HANSSON MD Individual | Internal Medicine (Nephrology) | 136 SHERMAN AVE SUITE 405 NEW HAVEN, CT 06511 (203) 787-0117 |
| 1619963923 | ALAN S KLIGER MD Individual | Internal Medicine (Nephrology) | 136 SHERMAN AVE SUITE 405 NEW HAVEN, CT 06511 (203) 787-0117 |
| 1528054848 | SUE CHANG MD Individual | Internal Medicine (Nephrology) | 136 SHERMAN AVE SUITE 405 NEW HAVEN, CT 06511 (203) 787-0117 |
| 1851387088 | FREDRIC O FINKELSTEIN MD Individual | Internal Medicine (Nephrology) | 136 SHERMAN AVE SUITE 405 NEW HAVEN, CT 06511 (203) 787-0117 |
| 1891781191 | SHIRIN SHIRANI MD Individual | Internal Medicine (Nephrology) | 136 SHERMAN AVE STE 405 NEW HAVEN, CT 06511 (203) 787-0117 |
| 1427044684 | THOMAS D EISEN MD Individual | Internal Medicine (Nephrology) | 136 SHERMAN AVE SUITE 405 NEW HAVEN, CT 06511 (203) 787-0117 |
| 1548256282 | LAURA TROIDLE PAC Individual | Physician Assistant | 136 SHERMAN AVE STE 405 NEW HAVEN, CT 06511 (203) 787-0117 |
| 1902894181 | PEPITA YAP-ADEFUIN MD Individual | Internal Medicine (Nephrology) | 136 SHERMAN AVE STE 405 NEW HAVEN, CT 06511 (203) 787-0117 |
| 1407804545 | MOSHE HASBANI, M.D. Organization | Specialist | 136 SHERMAN AVE SUITE 505 NEW HAVEN, CT 06511 (203) 562-8071 |
| 1699713016 | DR. LEONARD WARREN SKOPE D.D.S. Individual | Dentist (Oral and Maxillofacial Surgery) | 136 SHERMAN AVE SUITE #402 NEW HAVEN, CT 06511 (203) 865-0807 |
| 1407899073 | MARK H. WEINSTEIN M.D. Individual | Plastic Surgery | 136 SHERMAN AVE #407 NEW HAVEN, CT 06511 (203) 624-0673 |
| 1871526772 | DR. JOHN PAUL AMODEO MD Individual | Surgery | 136 SHERMAN AVE SUITE 308 NEW HAVEN, CT 06511 (203) 777-2375 |
| 1962428250 | DR. GORDON J. HUTCHINSON MD Individual | Internal Medicine (Rheumatology) | 136 SHERMAN AVE SUITE 104 NEW HAVEN, CT 06511 (203) 785-0885 |
| 1316966476 | DR. BARBARA ANNE ROACH MD Individual | Internal Medicine (Rheumatology) | 136 SHERMAN AVE NEW HAVEN, CT 06511 (203) 785-0885 |
| 1487668943 | EFFIE C CHANG MD Individual | Obstetrics & Gynecology (Gynecology) | 136 SHERMAN AVE STE 302 NEW HAVEN, CT 06511 (203) 776-5360 |
| 1306854864 | NEW HAVEN PODIATRY ASSOCIATES LLP Organization | Podiatrist | 136 SHERMAN AVE SUITE 202 NEW HAVEN, CT 06511 (203) 624-9991 |
| 1003086471 | SHARON HASBANI MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 136 SHERMAN AVE NEW HAVEN, CT 06511 (203) 562-8071 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801883335, enumerated in the NPI registry as an "individual" on September 30, 2005
The provider is located at 136 Sherman Ave Ste 405 New Haven, Ct 06511 and the phone number is (203) 787-0117
The provider's speciality is Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology
The provider might be accepting Accepts: Medicare and Medicaid. 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.
Medicare beneficiaries should expect a typical cost of $138.84 with an average copayment of $34.71 for new patient appointments. Established patients should expect a typical charge of $106.68 and an average copayment of 26.67. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 30, 2005. 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.