Individual provider Active NPI

Kevin Raynard Smith, MD

  • Facial Plastic Surgery Physician
  • Spring, TX
National Provider Identifier
1033185178
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
H2793 Issued in TX
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

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241204002035 WI Practitioner - Otolaryngology 0547339475 Reassigns benefits to 1 organization
I20250407000023 MA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 0547339475 Reassigns benefits to 1 organization
I20251231004127 VA Practitioner - Otolaryngology 0547339475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians
Columbia St Marys Hospital Milwaukee IncGroup PAC ID 5890604722, 311 clinicians

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 Hospital, Victoria, TX, CCN 450147
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2793TXMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc CurrentSince Feb 24, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2026 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Sep 16, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2026 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Sep 16, 2025 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Fairview Hospital CurrentSince Feb 24, 2025 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Nov 25, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Nov 25, 2024 Accepting new patients
Smith Cosmetic Surgery Center Facial Plastic Surgery PastSince Jan 1, 1990 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.