Kelau Tano Smith, MD
Student in an Organized Health Care Education/Training Program in Norfolk, VA. Individual provider (NPI-1).
NPI number1023958337
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1023958337
- Entity type
- Individual (NPI-1)
- Name
- Kelau Tano Smith
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2026
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | VA | Yes |
Practice location
825 Fairfax Ave Ste 563Norfolk, VA 23507-1912
Phone 757-446-5258
Mailing address
Macon & Joan Brock Vhs At Old Dominion University- EvmsGraduate Medical Education, P.O. Box 1980
Norfolk, VA 23501
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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