Jacob Allan Smith, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MT210978 Issued in PA

Practice address

3445 Executive Center Dr
Ste 250
Austin, TX 78731-1678

Phone

(512) 579-4000

Fax

(512) 439-2814

NPI assigned

Aug 7, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, DE2 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

Specialty

Pathology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom and HuangGroup PAC ID 7113942798, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Austin Medical Center Hospital, Austin, TX, CCN 450809
• Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
• St David'S Medical Center Hospital, Austin, TX, CCN 450431
• Ascension Seton Northwest Hospital, Austin, TX, CCN 450867
• Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsmith110175@direct.phhs.org

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.

• Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom & Huang

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
  • NPI 1255395810
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Seton

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1093810327
  Care Compare affiliation
• Ascension Seton

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1124137054
  Care Compare affiliation
• Ascension Seton

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1164526786
  Care Compare affiliation
• St Davids Healthcare Partnership LP LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1629021845
  Care Compare affiliation
• St. Davids Healthcare Partnership, L.P., LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1396224838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 EXECUTIVE CENTER DR",
            "address_2": "STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311678",
            "telephone_number": "512-579-4000",
            "fax_number": "512-439-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 EXECUTIVE CENTER DR",
            "address_2": "STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311678",
            "telephone_number": "512-579-4000",
            "fax_number": "512-439-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACOB",
        "middle_name": "ALLAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "T0005",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MT210978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary W. Smith, M.D.
• Glenda Frances Smith, DDS
• Heather Marie Smith, P.A. C
• Ian Smith, LPC
• J Colby Smith, DDS
• Jacqueline Nicole Smith, LMSW
• Jae'Ona Smith
• Jaleesia Smith
• James Len Smith Jr., M.D.
• Jamie Lynn Smith, L.AC. LMT.

• Anatomic Pathology & Clinical Pathology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.

Verify at the official NPI Registry.