Active NPI
Timothy Smith, MD
- Surgery Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- T7743
- Practice address
- 10301 Gateway Blvd W
El Paso, TX 79925-7701 - Phone
- (309) 373-3449
- NPI assigned
- Aug 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | TRN25581 | FL | |
| Surgery Physician | 208600000X | 2016022430 | MO | |
| Surgery Physician | 208600000X | T7743 | TX | Primary |
Addresses
Primary practice location
10301 Gateway Blvd W
El Paso, TX 79925-7701
Mailing address
10201 Gateway Blvd W Ste 130
El Paso, TX 79925-7647
Phone (915) 594-1000
Other practice location 1
77 W Underwood St Fl 3
Orlando, FL 32806-1122
Phone (407) 649-6884 ext. 42000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016022430 | Other | MO | MISSOURI BOARD OF HEALING ARTS |
| T7743 | Other | TX | TEXAS MEDICAL BOARD |
| TRN25581 | Other | FL | FLORIDA BOARD OF MEDICINE |
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10201 Gateway Blvd W
Suite 130
El Paso, TX 79925-7647
Phone (915) 594-1000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN25581 | FL | MD | Surgery Physician |
| 2016022430 | MO | MD | Surgery Physician |
| T7743 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Trauma Medical Group, PLLC | Current | Accepting new patients | |
| El Paso Healthcare System LTD | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
101 Rim Rd
Ste 300B
El Paso, TX 79902
Phone (915) 263-7080
10201 Gateway Blvd W
Ste 130
El Paso, TX 79925
Phone (915) 594-1000
10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424
Interoperability endpoints
- timothy.smith@hca8.eclinicaldirectplus.com
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.
-
- Trauma Surgery Physician
- El Paso, TX
- NPI 1962144618
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
-
- Critical Access Hospital
- Silver City, NM
- NPI 1336220839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1497209548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10201 GATEWAY BLVD W STE 130",
"city": "EL PASO",
"state": "TX",
"postal_code": "799257647",
"telephone_number": "915-594-1000",
"fax_number": "915-594-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 GATEWAY BLVD W",
"city": "EL PASO",
"state": "TX",
"postal_code": "799257701",
"telephone_number": "309-373-3449"
}
],
"practiceLocations": [
{
"address_1": "77 W Underwood St Fl 3",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061122",
"country_code": "US",
"telephone_number": "407-649-6884 x42000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "TIMOTHY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-06",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "TRN25581",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2016022430",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "T7743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD OF HEALING ARTS",
"identifier": "2016022430",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "T7743",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF MEDICINE",
"identifier": "TRN25581",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.