Individual provider Active NPI

Christopher Smith, PA

  • Physician Assistant
  • Royse City, TX
National Provider Identifier
1164120747
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16638 Issued in TX
Practice address
901 W Interstate 30
Royse City, TX 75189-7518
Phone
(469) 248-5853
NPI assigned
Feb 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16638 TX Primary

Addresses

Primary practice location

901 W Interstate 30
Royse City, TX 75189-7518

Mailing address

4835 LBJ Fwy Ste 900
Dallas, TX 75244-6001

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307000951 TX Practitioner - Physician Assistant 9931572260 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arze Medical PLLCGroup PAC ID 0547528978, 21 clinicians
Meridian Health Post Acute PLLCGroup PAC ID 0648750679, 55 clinicians
Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

Practice addresses (Care Compare)

5242 Medical Dr
Rockwall, TX 75032-5001
Phone (469) 248-5853

5250 Medical Dr
Key Medical
Rockwall, TX 75032-5001
Phone (469) 338-0204

950 W Bethany Dr
Suite 570
Allen, TX 75013-3845
Phone (844) 941-3087

Merit-based Incentive Payment System (MIPS)

Final score
44.62 of 100Reported as group
Quality
67.78
Promoting interoperability
0
Improvement activities
20
Cost
22.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16638TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Partners PLLC CurrentSince Apr 1, 2026 Accepting new patients
Comfort Care Hospice, LLC PastSince Oct 19, 2020 Accepting new patients

Locations

950 W Bethany Dr
Ste 570
Allen, TX 75013
Phone (402) 651-5338

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

3315 Cross Timbers Rd
Flowermound, TX 75028
Phone (410) 552-4800

4201 Stonegate Blvd
Ft Worth, TX 76109
Phone (817) 924-5440

Interoperability endpoints

  • Direct secure messaging: csmith1329838@ahs.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1164120747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 LBJ FWY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W INTERSTATE 30",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751897518",
            "telephone_number": "469-248-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royse City, TX

Sources for this page

Verify at the official NPI Registry.