Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas Smith, MD

Individual provider Pediatric Sports Medicine Physician · NPI 1518285725

Dr. Douglas Smith, MD is a Neurology in Roseville, Minnesota. Qualified in 2010, 16 years ago. Practices with Minnesota Epilepsy Group PA, a 25-clinician group and accepts Medicare assignment. Licensed in Minnesota and Pennsylvania.

Years since qualifying
16
Licensed in
MN, PA
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2720 Fairview Ave N Ste 100
Roseville, MN 55113-1306
Phone: (651) 241-5290
Fax: (651) 241-5140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence 60589 (MN)
Pediatric Sports Medicine Physician Taxonomy 2080S0010X · Licence MT202293 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518285725
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2010
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022
Mailing address2720 Fairview Ave N Ste 100, Roseville, MN 55113-1306

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Minnesota Epilepsy Group Pa — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount