Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720016124 Individual Practitioner Male Practitioner

Dr. David Smith , MD

Pediatrics • Sartell, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Smith, MD is a certified Pediatrics practicing in Sartell, MN. With approximately 24 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 2002, Dr. Smith delivers high-quality medical care to the local community at 111 2ND ST S.

Dr. Smith is affiliated with Sartell Pediatrics Pa and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

111 2nd St S

Sartell, MN 563771917

Telephone 3202813339
Fax 3202516942
Associated Practice Facility / Clinic
🏢 Sartell Pediatrics, P.a. Facility NPI 1215203898

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Sartell, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs Matches City Avg
City Avg: 24.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Sartell, MN (1325 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (24 Years) 24 Yrs
Sartell Specialty Average (24.0 Years) 24.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-04-07
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 47571

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
173436900 (MN)

Hospital & Practice Group Affiliations

Sartell Pediatrics Pa

111 2nd St S, Sartell, MN 563771917

Phone: 3202813339

Practice Associates & Co-Workers

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

27 Associated Practitioners
NPI 1063827236

Doctor of Osteopathic Medicine (D.O.)

Dr. Ann Lee , DO

Family Medicine

NPI 1164673190

Doctor of Osteopathic Medicine (D.O.)

Eunice Weslander , PA-C

Physician Assistant

NPI 1215902879

Physician Assistant (Certified)

Kelly Woods , CPNP, FPNP

Nurse Practitioner - Pediatrics

NPI 1235133729

Certified Pediatric Nurse Practitioner, FPNP

Katelin Stommes , OTR, L

Occupational Therapist

NPI 1245819564

Occupational Therapist Registered, L

Heidi Webster

Speech-Language Pathologist

NPI 1265003610

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 07, 2022

Registered at 111 2ND ST S, SARTELL, MN 563771917 (Tel: 3202813339)

📍
Updated Business Mailing Address April 07, 2022

Registered at 111 2ND ST S, SARTELL, MN 563771917 (Tel: 3202813339)

NPI Profile Active November 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 26, 2010

Registered at 1301 33RD ST S, SAINT CLOUD, MN 563019668 (Tel: 3202518181)

📍
Updated Business Mailing Address November 26, 2010

Registered at 251 COUNTY RD 120, SAINT CLOUD, MN 563034813 (Tel: 3202028949)

👤
Provider Name / Credentials Updated November 26, 2010

Recorded as DAVID SMITH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2010

Pediatrics (License #47571 in MN)

🟢
Initial NPI Registration & Enumeration June 28, 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: 1720016124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: April 07, 2022
Sole Proprietor: No

Mailing Address

111 2nd St S

Sartell, MN 563771917

Phone: 3202813339

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.