Individual provider Active NPI

Philip O Smith, M.D.

  • Anesthesiology Physician
  • Irving, TX
National Provider Identifier
1265419949
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
F7180 Issued in TX
Practice address
8041 N Macarthur Blvd Apt 2177
Irving, TX 75063-7663
Phone
(214) 405-8930
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X F7180 TX Primary

Addresses

Primary practice location

8041 N Macarthur Blvd Apt 2177
Irving, TX 75063-7663

Mailing address

PO Box 97
Weston, TX 75097-0097
Phone (214) 405-8930

Other identifiers 1

IdentifierTypeStateIssuer
089722504MedicaidTX

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
I20101007000705 TX Practitioner - Anesthesiology 9830381151 Reassigns benefits to 1 organization
Practice locations: Dallas, TX; Sunnyvale, TX; Plano, TX; Carrollton, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F7180TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Anesthesia Anesthesiology CurrentSince Dec 13, 2022 Accepting new patients
Northstar Anesthesia III PA Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients

Locations

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

7115 Greenville Ave
Ste 100
Dallas, TX 75231
Phone (214) 647-5300

6901 Snider Plz
Ste 300
Dallas, TX 75205
Phone (214) 363-2418

12200 Park Central Dr
Ste 300
Dallas, TX 75251
Phone (972) 661-0505

5744 Lyndon B Johnson Fwy
Ste 200
Dallas, TX 75240
Phone (214) 273-2648

3535 Travis St
Ste 210
Dallas, TX 75204
Phone (214) 522-7277

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

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.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1265419949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "WESTON",
            "state": "TX",
            "postal_code": "750970097",
            "telephone_number": "214-405-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8041 N MACARTHUR BLVD APT 2177",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637663",
            "telephone_number": "214-405-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILIP",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "F7180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089722504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.