Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Carroll Rudolph Smith III, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154664035

Dr. Carroll Rudolph Smith III, MD is an Internal Medicine in East Meadow, New York. Qualified in 2013, 13 years ago. Practices with 24 on Physicians of SC LLC, a 137-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
13
Licensed in
SC
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone: (516) 572-0123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 39291 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154664035
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2013
Last updated in NPPESMay 18, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice 24 On Physicians Of Sc Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in East Meadow