Active NPI
Russell R. Smith, MD
- Family Medicine Physician
- Plano, TX
National Provider Identifier
1316990187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H0828
- Practice address
- 5068 W Plano Pkwy
Suite 224
Plano, TX 75093-4408 - Phone
- (972) 447-0220
- NPI assigned
- May 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H0828 | TX | Primary |
Addresses
Primary practice location
5068 W Plano Pkwy
Suite 224
Plano, TX 75093-4408
Mailing address
5068 W Plano Pkwy
Suite 224
Plano, TX 75093-4408
Phone (972) 447-0220
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120316000440 | TX | Practitioner - Family Practice | 0749292191 | Practice locations: Plano, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5068 W Plano Pkwy
Plano, TX 75093-4493
Phone (972) 447-0220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0828 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnicare Health Centers, Inc. | Past | Accepting new patients | |
| Omnicare Medical Associates, P. a. | Past | Accepting new patients |
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.
-
- Clinic/Center
- Plano, TX
- NPI 1437101672
-
- Clinic/Center
- Plano, TX
- NPI 1811914500
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1649273434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1316990187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5068 W PLANO PKWY",
"address_2": "SUITE 224",
"city": "PLANO",
"state": "TX",
"postal_code": "750934408",
"telephone_number": "972-447-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5068 W PLANO PKWY",
"address_2": "SUITE 224",
"city": "PLANO",
"state": "TX",
"postal_code": "750934408",
"telephone_number": "972-447-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RUSSELL",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H0828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.