Individual provider Active NPI

Ted R. Smith, M.D.

  • Trauma Surgery Physician
  • Waco, TX
National Provider Identifier
1144240508
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
H5491 Issued in TX
Practice address
50 Hillcrest Medical Blvd Ste 105
Waco, TX 76712-8953
Phone
(254) 202-7300
Fax
(254) 202-7350
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X H5491 TX Primary

Addresses

Primary practice location

50 Hillcrest Medical Blvd Ste 105
Waco, TX 76712-8953

Mailing address

PO Box 848491
Dallas, TX 75284-8491
Phone (254) 202-9330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tsmith14324@direct.sw.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000440 TX Practitioner - General Surgery 5799741518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Texas PLLCGroup PAC ID 6709002777, 33 clinicians

Practice addresses (Care Compare)

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4242

Hospital & facility affiliations

  • Ascension at Home Home health agency, Waco, TX, CCN 457377
  • Magnolia Home Health Home health agency, Waco, TX, CCN 677694
  • Accentcare Home Health of Waco Home health agency, Waco, TX, CCN 679200
  • Ascension Providence Hospital, Waco, TX, CCN 450042
  • Baylor Scott & White Medical Center Hillcrest Hospital, Waco, TX, CCN 450101
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue383
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Texas, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Hillcrest Physician Services CurrentSince Jan 1, 2014 Accepting new patients
Scott & White Hospital - Taylor PastSince Nov 1, 2020 Accepting new patients
Hillcrest Family Health Center PastSince Oct 23, 2017 Accepting new patients

Locations

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

50 Hillcrest Medical Blvd
Ste 105
Waco, TX 76712
Phone (254) 202-7300

3000 Herring Ave
Waco, TX 76708
Phone (254) 202-2000

50 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-7300

50 Hillcrest Medical Blvd
Ste 104
Waco, TX 76712
Phone (254) 202-7300

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

100 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-2000

Organizations & group practices 4

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1144240508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848491",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848491",
            "telephone_number": "254-202-9330",
            "fax_number": "254-202-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HILLCREST MEDICAL BLVD STE 105",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128953",
            "telephone_number": "254-202-7300",
            "fax_number": "254-202-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TED",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "H5491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsmith14324@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "50 Hillcrest Medical Blvd Ste 105",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767128953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.