Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821020058 Individual Practitioner Male Practitioner

Dr. Douglas S Smith , MD

Pediatrics • Menomonee Falls, WI

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Smith, MD is a registered healthcare professional specializing in Pediatrics in Menomonee Falls, WI. Practice services are available at N84 W16889 MENOMONEE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

N84 W16889 Menomonee Ave

Menomonee Falls, WI 53051

Telephone 2622517500
Fax 2622517128
Associated Practice Facility / Clinic
🏢 Advanced Healthcare, S.c. Facility NPI 1083794176

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Menomonee Falls, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Menomonee Falls, WI (1245 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

Medical Specialties & State Licenses

CMS Verified: 2023-10-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 27805

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
30747600 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003846171

Doctor of Optometry

NPI 1003848458

Doctor of Medicine (M.D.)

NPI 1003998519

Doctor of Medicine (M.D.)

Ashley Polomis , MS, CCC-SLP

Speech-Language Pathologist

NPI 1013807700

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Elizabeth Pechstein , PA-C

Physician Assistant

NPI 1033734496

Physician Assistant (Certified)

David Luber , NP

Nurse Practitioner

NPI 1043426067

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address October 04, 2023

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 2622517500)

NPI Profile Active January 25, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2011

Registered at N84 W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051 (Tel: 2622517500)

📍
Updated Business Mailing Address January 25, 2011

Registered at 3003 W GOOD HOPE RD, MILWAUKEE, WI 53209 (Tel: 4143523100)

👤
Provider Name / Credentials Updated January 25, 2011

Recorded as DOUGLAS SMITH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2011

Pediatrics (License #27805 in WI)

🟢
Initial NPI Registration & Enumeration July 07, 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: 1821020058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2006
Last Update: October 04, 2023
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 2622517500

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.