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Deactivated NPI 1912096413 Deactivated / Inactive NPI Male Practitioner

Dr. Lloyd D Smith , MD

Pathology - Dermatopathology • Modesto, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lloyd Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2006
NPI Deactivation Date September 05, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Lloyd Smith, MD was a registered Pathology - Dermatopathology practicing in Modesto, CA. Throughout an active medical career spanning 13 years, Dr. Smith provided care at the practice location at 961 N EMERALD until profile deactivation on 2019-09-05.

Historical Medicare Part B clinical services included pathology examination of tissue using a microscope, intermediate complexity, surgical pathology consultation and report on referred material requiring preparation of slides. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

961 N Emerald
#d

Modesto, CA 953511556

Telephone 2095754575
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Dermatopathology in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Modesto, CA (55 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity
489 271 $56.00 $40.58

Medical Specialties & State Licenses

Pathology - Dermatopathology Primary Specialty

NUCC Taxonomy Code: 207ZD0900X

State License CA G9623

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. Kian Kaveh , DO

Internal Medicine

NPI 1053451328

Doctor of Osteopathic Medicine (D.O.)

Dr. Norbert Ralph , PhD

Clinical Neuropsychologist

NPI 1083672877

Doctor of Philosophy (Ph.D.)

Dr. John Wolfe , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1144287509

Doctor of Medicine (M.D.)

Dr. Gholamreza Vafadouste , MD

Internal Medicine - Cardiovascular Disease

NPI 1164470639

Doctor of Medicine (M.D.)

Dr. Fariba Amani , MD

Internal Medicine - Cardiovascular Disease

NPI 1265656417

Doctor of Medicine (M.D.)

Sant Kumar

Technician

NPI 1306310164

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 05, 2019

Record deactivated on September 05, 2019

NPI Profile Active May 16, 2014

NPI status registered as active in NPPES database

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Updated Practice Location May 16, 2014

Registered at 961 N EMERALD, #D, MODESTO, CA 953511556 (Tel: 2095754575)

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Updated Business Mailing Address May 16, 2014

Registered at P O BOX 576188, MODESTO, CA 953576188 (Tel: 2095754575)

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Provider Name / Credentials Updated May 16, 2014

Recorded as LLOYD SMITH, M.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2014

Pathology (License #G9623 in CA)

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Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912096413
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: May 16, 2014
Deactivation Date: September 05, 2019

Mailing Address

P O Box 576188

Modesto, CA 953576188

Phone: 2095754575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.