Individual provider Active NPI

Michael Charles Smith, M.D.

  • Surgery Physician
  • Waco, TX
National Provider Identifier
1306178538
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R7116 Issued in TX
Practice address
50 Hillcrest Medical Blvd Ste 104
Waco, TX 76712-8953
Phone
(254) 215-9481
NPI assigned
Feb 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R7116 TX Primary

Addresses

Primary practice location

50 Hillcrest Medical Blvd Ste 104
Waco, TX 76712-8953

Mailing address

PO Box 848491
Dallas, TX 75284-8491

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msmith221430@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
I20180803000792 TX Practitioner - General Surgery 2466700638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Johns Hopkins University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillcrest Physician ServicesGroup PAC ID 1153304456, 114 clinicians

Practice addresses (Care Compare)

100 Hillcrest Med Blvde
Waco, TX 76712-8897
Phone (254) 202-2000

140 Hillcrest Medical Blvd
Waco, TX 76712-8897

150 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-4000

50 Hillcrest Medical Blvd
Waco, TX 76712-8953

50 Hillcrest Medical Blvd
Suite 206
Waco, TX 76712-8954
Phone (254) 202-7950

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Hillcrest Hospital, Waco, TX, CCN 450101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Hernia repair (minimally invasive)19
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Physician Services Surgery CurrentSince Jul 20, 2018 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

5701 Airport Rd
#200
Temple, TX 76502
Phone (254) 215-9790

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

50 Hillcrest Medical Blvd
Ste 102
Waco, TX 76712
Phone (254) 202-7215

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

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

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 1

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": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1306178538",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HILLCREST MEDICAL BLVD STE 104",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128953",
            "telephone_number": "254-215-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-15",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R7116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msmith221430@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "50 Hillcrest Medical Blvd Ste 104",
            "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.