Active NPI
Mauricio Ernesto Smart, M.D.
- Pediatrics Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P8416
- Practice address
- 801 7TH Ave
Fort Worth, TX 76104-2733 - Phone
- (682) 885-1024
- Fax
- (682) 885-1033
- NPI assigned
- Dec 18, 2011
- Last updated
- Sep 20, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | P8416 | TX | |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | P8416 | TX | |
| Pediatrics Physician | 208000000X | P8416 | TX | Primary |
Addresses
Primary practice location
801 7TH Ave
Fort Worth, TX 76104-2733
Mailing address
PO Box 99213
Fort Worth, TX 76199-0213
Phone (682) 885-4444
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8416 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children's Physician Network | Pediatrics | Current | Accepting new patients |
| Nueces Emergency Medicine Associates PA | Emergency Medicine | Current | Accepting new patients |
| Barrier Reef Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Memorial Hermann Hospital Based Physician Group | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Cook Children's Physician Network | Pediatric Emergency Medicine | Current | Accepting new patients |
| Cook Children's Physician Network | Pediatrics | Current | Accepting new patients |
| Singleton Associates PA | Past | Accepting new patients |
Locations
3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445
27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
6316 Precinct Line Rd
Hurst, TX 76054
Phone (817) 605-2500
23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000
2555 Gulf Fwy S
#C1100
League City, TX 77573
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
9250 Pinecroft Dr
#C
Shenandoah, TX 77380
17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000
200 Blossom St
Webster, TX 77598
Phone (281) 252-7000
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.
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- Pediatrics Physician
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- NPI 1750369203
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1295363497
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1215314364
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Fort Worth, TX
- NPI 1669442042
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1104195379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99213",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761990213",
"telephone_number": "682-885-4444",
"fax_number": "817-810-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 7TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042733",
"telephone_number": "682-885-1024",
"fax_number": "682-885-1033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "MAURICIO",
"middle_name": "ERNESTO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-18",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "P8416",
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "TX",
"license": "P8416",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P8416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.