Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1124372107 Deactivated / Inactive NPI Male Practitioner

Dr. Elwin Albert Smith , MD

Specialist • Centennial, CO

⚠️

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. Elwin Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 30, 2012
NPI Deactivation Date July 13, 2022
Total Practice Duration ~10 Years of Practice (2012 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Elwin Smith, MD was a registered Specialist practicing in Centennial, CO. Throughout an active medical career spanning 10 years, Dr. Smith provided care at the practice location at 5093 E OTERO CIR until profile deactivation on 2022-07-13.

Practice Location & Contact Primary Location

Practice Address

5093 E Otero Cir
N/a

Centennial, CO 801223846

Telephone 3037719403

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Centennial, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.3 Yrs
State Avg: 33.7 Yrs
Regional Practice Density
19 Specialists

Practicing in Centennial, CO (1204 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CO 15919

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated July 13, 2022

Record deactivated on July 13, 2022

NPI Profile Active October 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2012

Registered at 5093 E OTERO CIR, N/A, CENTENNIAL, CO 801223846 (Tel: 3037719403)

📍
Updated Business Mailing Address October 30, 2012

Registered at 5093 E OTERO CIR, N/A, CENTENNIAL, CO 801223846 (Tel: 3037719403)

👤
Provider Name / Credentials Updated October 30, 2012

Recorded as ELWIN SMITH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2012

Specialist (License #15919 in CO)

🟢
Initial NPI Registration & Enumeration October 30, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Elwin Smith. Be the first to share your experience!

Sign in to leave a review for Dr. Elwin Smith

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124372107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2012
Last Update: October 30, 2012
Deactivation Date: July 13, 2022

Mailing Address

5093 E Otero Cir, N/a

Centennial, CO 801223846

Phone: 3037719403

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.