Active NPI
Kyle P Smith, DO
- Family Medicine Physician
- New Braunfels, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K4570
- Practice address
- 1925 State Highway 46 W
New Braunfels, TX 78132-5245 - Phone
- (830) 643-7000
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 118405 | MO | |
| Family Medicine Physician | 207Q00000X | K4570 | TX | Primary |
Addresses
Primary practice location
1925 State Highway 46 W
New Braunfels, TX 78132-5245
Mailing address
1925 State Highway 46 W
New Braunfels, TX 78132-5245
Phone (830) 643-7000
Other practice location 1
4331 S Fremont Ave
Springfield, MO 65804-7328
Phone (417) 820-5015
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123528 | Other | MO | MO BLUE SHIELD |
| 98348 | Other | AR | ARK BLUE SHIELD |
| 244010914 | Medicaid | MO | |
| 143532003 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Christus Homecare
- Advanced Home Health Services
- Christus Santa Rosa Hospital-San Marcos
- New Braunfels Regional Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118405 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713
290 Clift Ct
#H
Hollister, MO 65672
Phone (417) 336-4355
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
4331 S Fremont Ave
Springfield, MO 65804
Phone (417) 820-5000
1925 State Highway 46 W
New Braunfels, TX 78132
Phone (830) 463-7000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- ksmith818@directb.mercy.net
- ksmith291482@christushealth.direct-ci.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Seguin, TX
- NPI 1598701716
-
- General Acute Care Hospital
- New Braunfels, TX
- NPI 1114725033
-
- General Acute Care Hospital
- San Marcos, TX
- NPI 1447883301
-
- Home Health Agency
- New Braunfels, TX
- NPI 1588187082
-
- Rehabilitation Clinic/Center
- New Braunfels, TX
- NPI 1043937204
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- New Braunfels, TX
- NPI 1801191853
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1306986484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 STATE HIGHWAY 46 W",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781325245",
"telephone_number": "830-643-7000",
"fax_number": "830-629-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 STATE HIGHWAY 46 W",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781325245",
"telephone_number": "830-643-7000"
}
],
"practiceLocations": [
{
"address_1": "4331 S Fremont Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658047328",
"country_code": "US",
"telephone_number": "417-820-5015",
"fax_number": "417-820-5026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "KYLE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "118405",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K4570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO BLUE SHIELD",
"identifier": "123528",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARK BLUE SHIELD",
"identifier": "98348",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "244010914",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143532003",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.