Individual provider Active NPI

Adam B. Smith, D.O.

  • Specialist
  • Fort Worth, TX
National Provider Identifier
1033109608
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H7229 Issued in TX
Practice address
2501 Parkview Dr
Suite 560
Fort Worth, TX 76102-5824
Phone
(817) 850-1100
Fax
(817) 850-1104
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H7229 TX Primary

Addresses

Primary practice location

2501 Parkview Dr
Suite 560
Fort Worth, TX 76102-5824

Mailing address

2501 Parkview Dr
Suite 560
Fort Worth, TX 76102-5824
Phone (817) 850-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000735 TX Practitioner - General Surgery 3173587946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Laparoscopy Bariatrics and Surgery PAGroup PAC ID 5294799060, 4 clinicians

Practice addresses (Care Compare)

2501 Parkview Dr
Fort Worth, TX 76102-5825
Phone (817) 850-1100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Laparoscopy Bariatrics & Surgery PA Specialist CurrentSince Nov 1, 2004 Accepting new patients
Physicians Surgical Center of Ft. Worth LLP PastSince May 1, 2007 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

2501 Parkview Dr
Ste 560
Fort Worth, TX 76102
Phone (817) 850-1100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFHDAA/Endpoint/HFHDAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1033109608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PARKVIEW DR",
            "address_2": "SUITE 560",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025824",
            "telephone_number": "817-850-1100",
            "fax_number": "817-850-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PARKVIEW DR",
            "address_2": "SUITE 560",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025824",
            "telephone_number": "817-850-1100",
            "fax_number": "817-850-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ADAM",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H7229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.