NPIMap

Individual provider Active NPI

Pamela K Smith, M.D.

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1083621866
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G5829 Issued in TX
Practice address
6200 Saratoga Blvd Unit 5
Corpus Christi, TX 78414-3478
Phone
(361) 225-2255
Fax
(361) 854-3672
NPI assigned
Aug 2, 2006
Last updated
Jul 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G5829 TX Primary

Addresses

Primary practice location

6200 Saratoga Blvd Unit 5
Corpus Christi, TX 78414-3478

Mailing address

6200 Saratoga Blvd Unit 5
Corpus Christi, TX 78414-3478
Phone (361) 225-2255

Other identifiers 3

IdentifierTypeStateIssuer
110180216OtherTXRAILROAD MEDICARE
84222KOtherTXBLUE CROSS BLUE SHIELD
104109702MedicaidTX

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
I20100127000269 TX Practitioner - Internal Medicine 5597807701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians
Corpus Christi Medical Associates, P.a.Group PAC ID 3577741552, 6 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

6200 Saratoga Blvd
Unit 5
Corpus Christi, TX 78414-3478
Phone (361) 225-2255

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32868NCMDPharmacist
G5829TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corpus Christi Medical Associates, P.a. Internal Medicine CurrentSince Sep 1, 2013 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

6200 Saratoga Blvd
Unit 5
Corpus Christi, TX 78414
Phone (361) 225-2255

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1083621866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SARATOGA BLVD UNIT 5",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143478",
            "telephone_number": "361-225-2255",
            "fax_number": "361-854-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SARATOGA BLVD UNIT 5",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143478",
            "telephone_number": "361-225-2255",
            "fax_number": "361-854-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAMELA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G5829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110180216",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84222K",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104109702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.