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

Dr. Gideon Smith, MDPHD

Individual provider Dermatology Physician · NPI 1649433152

Dr. Gideon Smith, MDPHD is a Dermatology in Boston, Massachusetts. Qualified in 2007, 19 years ago. Practices with Evms Academic Physicians and Surgeons Health Services Foundation, a 224-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
19
Licensed in
MA, NY
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

50 Staniford Street Mass General Hospital Dermatology Ste 800
Boston, MA 02114-2621
Phone: (617) 726-2914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 247358 (MA)
Dermatology Physician Taxonomy 207N00000X · Licence 254990 (NY)

Record details

NPI number1649433152
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJuly 3, 2008
Last updated in NPPESSeptember 18, 2019

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Evms Academic Physicians And Surgeons Health Services Foundation — 224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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