Individual provider Active NPI

Kyle P Smith, DO

  • Family Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1306986484
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4570 Issued in TX
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

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
123528OtherMOMO BLUE SHIELD
98348OtherARARK BLUE SHIELD
244010914MedicaidMO
143532003MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090105000331 MO Practitioner - Family Practice 6406918291 Reassigns benefits to 1 organization
I20220912003644 TX Practitioner - Family Practice 6406918291 Reassigns benefits to 1 organization

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
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

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 Home health agency, New Braunfels, TX, CCN 677544
  • Advanced Home Health Services Home health agency, Seguin, TX, CCN 677247
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • New Braunfels Regional Rehabilitation Hospital Inpatient rehabilitation facility, New Braunfels, TX, CCN 673049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118405MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Oct 3, 2022 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Oct 3, 2022 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Sep 1, 2000 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

  • Direct secure messaging: ksmith818@directb.mercy.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.