Active NPI
Kevin Raynard Smith, MD
- Facial Plastic Surgery Physician
- Spring, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- H2793
- Practice address
- 25510 Interstate 45 N Ste 100
Spring, TX 77386-1376 - Phone
- (713) 795-0600
- Fax
- (713) 795-0862
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | H2793 | TX | Primary |
Addresses
Primary practice location
25510 Interstate 45 N Ste 100
Spring, TX 77386-1376
Mailing address
25510 Interstate 45 N Ste 100
Spring, TX 77386-1376
Phone (713) 795-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 N 28TH St
Richmond, VA 23223-5311
2311 N Prospect Ave
Milwaukee, WI 53211-4445
Phone (414) 319-3000
5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000
Hospital & facility affiliations
- De Tar Hospital Navarro
- Bon Secours St Marys Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2793 | TX | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Faculty Services Inc | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Fairview Hospital | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Smith Cosmetic Surgery Center | Facial Plastic Surgery | Past | Accepting new patients |
Locations
780 Main St
Ste 103
Great Barrington, MA 01230
Phone (413) 429-8060
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
101 Medical Dr
Victoria, TX 77904
Phone (361) 573-6100
605 E San Antonio St
Ste 508E
Victoria, TX 77901
Phone (361) 485-0051
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Interoperability endpoints
- kevin.smith.1@1902.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
- Facial Plastic Surgery Physician
- Houston, TX
- NPI 1316074065
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- Internal Medicine Physician
- Victoria, TX
- NPI 1215999511
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
-
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
- NPI 1841029287
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1851343909
-
- Clinical Medical Laboratory
- Richmond, VA
- NPI 1588129480
Hospital
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1962464016
-
- Sleep Disorder Diagnostic Clinic/Center
- Mechanicsville, VA
- NPI 1457687543
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Midlothian, VA
- NPI 1548596638
Hospital
-
- Cardiac Rehabilitation Clinic/Center
- Richmond, VA
- NPI 1902132095
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Richmond, VA
- NPI 1992031348
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1033185178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25510 INTERSTATE 45 N STE 100",
"city": "SPRING",
"state": "TX",
"postal_code": "773861376",
"telephone_number": "713-795-0600",
"fax_number": "713-795-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25510 INTERSTATE 45 N STE 100",
"city": "SPRING",
"state": "TX",
"postal_code": "773861376",
"telephone_number": "713-795-0600",
"fax_number": "713-795-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KEVIN",
"middle_name": "RAYNARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "TX",
"license": "H2793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.