ELTON JOHN SMITH M.D. NPI 1679526784

NPI Information

  • NPI: 1679526784
  • Provider Name: ELTON JOHN SMITH, M.D.
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4641 ROOSEVELT BLVD
    PHILA, PA
    ZIP 19124
  • Phone: (215) 831-4600

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NPI Details

Elton John Smith, M.D. is a psychiatry psychiatry neurology in Phila, PA with 24 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Elton John Smith, M.D. NPI is 1679526784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MOREHOUSE SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

4641 ROOSEVELT BLVD
PHILA, PA
ZIP 19124-343
Phone: (215) 831-4600

The NPI 1679526784 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 5/18/2006 and was last updated on 10/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry25MA08836800NEW JERSEYNo
22084P0800XPsychiatry & NeurologyPsychiatryMD425154PENNSYLVANIANo
32084P0800XPsychiatry & NeurologyPsychiatryC1-0008215DELAWARENo
42084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry0101259244VIRGINIANo
52084P0800XPsychiatry & NeurologyPsychiatry036140146ILLINOISNo
62084P0800XPsychiatry & NeurologyPsychiatry25MA08836800NEW JERSEYNo
72084P0800XPsychiatry & NeurologyPsychiatry0101259244VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MD425154OTHERPENNSYLVANIALICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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