NPIMap

Individual provider Active NPI

Douglas K Smith, MD

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1144239880
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K6931 Issued in TX
Practice address
101 Bretford CT
San Antonio, TX 78230-5654
Phone
(210) 587-6937
Fax
(210) 579-1012
NPI assigned
Aug 5, 2006
Last updated
Feb 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X K6931 TX Primary
Diagnostic Radiology Physician 2085R0202X ME95920 FL

Addresses

Primary practice location

101 Bretford CT
San Antonio, TX 78230-5654

Mailing address

101 Bretford CT
San Antonio, TX 78230-5654
Phone (210) 587-6937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95920FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
US Radiology Partners of Texas Inc Diagnostic Radiology Past Accepting new patients
Mecklenburg Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Advanced MRI Imaging, PLLC Diagnostic Radiology PastSince Sep 14, 2008 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Michigan Orthopaedic Institute, P.C. PastSince Nov 30, 2015 Accepting new patients
Innovative Radiology PA Diagnostic Radiology Past Accepting new patients
A1 Imaging of Texas City LLC PastSince Apr 30, 2003 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
South Texas Radiology Group PA Diagnostic Radiology Past Accepting new patients
Acd-Sa, LTD. Past Accepting new patients
Acd-Sa, LTD. Past Accepting new patients

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1144239880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRETFORD CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305654",
            "telephone_number": "210-587-6937",
            "fax_number": "210-579-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRETFORD CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305654",
            "telephone_number": "210-587-6937",
            "fax_number": "210-579-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K6931",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME95920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.