Individual provider Active NPI

Renee C Smith

  • Obstetrics & Gynecology Physician
  • Decatur, TX
National Provider Identifier
1255397394
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L6649 Issued in TX
Practice address
2451 S FM 51
Suite 300
Decatur, TX 76234-3858
Phone
(940) 626-8008
Fax
(940) 627-4709
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L6649 TX Primary

Addresses

Primary practice location

2451 S FM 51
Suite 300
Decatur, TX 76234-3858

Mailing address

2451 S FM 51
Suite 300
Decatur, TX 76234-3858
Phone (940) 626-8008

Other identifiers 2

IdentifierTypeStateIssuer
8K1580OtherTXBCBS
162806701MedicaidTX

Other names 1

  • Renee Horning Former name

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
I20040226001112 TX Practitioner - Obstetrics/Gynecology 3173422748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Wise Obstetrics and Gynecology PAGroup PAC ID 1658270327, 3 clinicians

Practice addresses (Care Compare)

2451 S FM
51 Suite 300
Decatur, TX 76234-3861
Phone (940) 626-8008

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Obstetrics & Gynecology PA Obstetrics & Gynecology CurrentSince Oct 1, 2003 Accepting new patients
Columbia Medical Center of Denton Subsidiary LP Past Accepting new patients

Locations

2451 S FM 51
Ste 300
Decatur, TX 76234
Phone (940) 626-8008

609 Medical Center Dr
Ste 2400
Decatur, TX 76234
Phone (940) 539-2501

Interoperability endpoints

  • Direct secure messaging: drsmith@reneesmith.direct.emds.com

Organizations & group practices 2

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 3

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1255397394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 S FM 51",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343858",
            "telephone_number": "940-626-8008",
            "fax_number": "940-627-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 S FM 51",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343858",
            "telephone_number": "940-626-8008",
            "fax_number": "940-627-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RENEE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L6649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K1580",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162806701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "HORNING",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.