NPIMap

Individual provider Active NPI

Douglas S Smith, M.D.

  • Diagnostic Radiology Physician
  • San Marcos, TX
National Provider Identifier
1033257753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J8777 Issued in TX
Practice address
1301 Wonder World Dr
San Marcos, TX 78666-7533
Phone
(512) 396-8565
Fax
(512) 396-8567
NPI assigned
Feb 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J8777 TX Primary

Addresses

Primary practice location

1301 Wonder World Dr
San Marcos, TX 78666-7533

Mailing address

PO Box 1005
San Marcos, TX 78667-1005
Phone (512) 396-8565

Other identifiers 2

IdentifierTypeStateIssuer
J8777OtherTXLICENSE
P083515R9MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141009000208 TX Practitioner - Diagnostic Radiology 1254589138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guadalupe County Hospital BoardGroup PAC ID 5496653842, 31 clinicians
San Marcos Medical Imaging PLLCGroup PAC ID 6901068782, 3 clinicians

Practice addresses (Care Compare)

1215 E Court St
Seguin, TX 78155-5129
Phone (830) 379-2411

1330 Wonder World Dr
B
San Marcos, TX 78666-7566
Phone (512) 396-8565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8777TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe County Hospital Board Current Accepting new patients
Guadalupe County Hospital Board CurrentSince Aug 1, 2024 Accepting new patients
Preferred Imaging of Austin LLC Diagnostic Radiology CurrentSince Feb 25, 2020 Accepting new patients
Guadalupe County Hospital Board CurrentSince Aug 1, 2024 Accepting new patients
Guadalupe County Hospital Board Current Accepting new patients
San Marcos Medical Imaging PLLC Diagnostic Radiology CurrentSince Sep 16, 2014 Accepting new patients
San Marcos MRI, LP CurrentSince Mar 1, 2023 Accepting new patients
Radiology Associates of San Marcos Diagnostic Radiology Past Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients

Locations

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

1330 Wonder World Dr
#B
San Marcos, TX 78666
Phone (512) 396-8565

1330 Wonder World Dr
Ste 202
San Marcos, TX 78666
Phone (512) 353-5535

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

Organizations & group practices 9

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

Hospital & facility affiliations 10

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033257753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786671005",
            "telephone_number": "512-396-8565",
            "fax_number": "512-396-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667533",
            "telephone_number": "512-396-8565",
            "fax_number": "512-396-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J8777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "J8777",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P083515R9",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.