Active NPI
Melissa Marie Smith-Phillips, M.D.
- Pediatrics Physician
- Galveston, TX
National Provider Identifier
1184917528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P9966
- Practice address
- 301 University Blvd
Children'S Hospital 3.230
Galveston, TX 77555-0351 - Phone
- (409) 747-0534
- Fax
- (409) 474-0721
- NPI assigned
- May 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP1-0040964 | TX | |
| Pediatrics Physician | 208000000X | P9966 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Children'S Hospital 3.230
Galveston, TX 77555-0351
Mailing address
301 University Blvd
Children'S Hospital 3.230
Galveston, TX 77555-0351
Phone (409) 747-0534
Other names 1
- Ms. Melissa Marie Smith
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 |
|---|---|---|---|
| BP1-0040964 | TX | MD | Pediatrics Physician |
| P9966 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Pediatrics | Current | Accepting new patients |
Locations
6416 Broadway St
Galveston, TX 77551
Phone (409) 744-5437
301 University Blvd
#3230
Galveston, TX 77555
Phone (409) 747-0534
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
Interoperability endpoints
- msmithphillipsmd11481@direct.utmb.edu
Organizations & group practices 1
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": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404000000000",
"number": "1184917528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"address_2": "CHILDREN'S HOSPITAL 3.230",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550351",
"telephone_number": "409-747-0534",
"fax_number": "409-474-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"address_2": "CHILDREN'S HOSPITAL 3.230",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550351",
"telephone_number": "409-747-0534",
"fax_number": "409-474-0721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-PHILLIPS",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-18",
"last_updated": "2014-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP1-0040964",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P9966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "SMITH",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2014; 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.