Individual provider Active NPI

Timothy Smith, MD

  • Surgery Physician
  • El Paso, TX
National Provider Identifier
1497209548
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T7743 Issued in TX
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

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2016022430OtherMOMISSOURI BOARD OF HEALING ARTS
T7743OtherTXTEXAS MEDICAL BOARD
TRN25581OtherFLFLORIDA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220908001992 TX Practitioner - General Surgery 9638553779 Reassigns benefits to 1 organization

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
Texas Trauma Medical Group, PLLCGroup PAC ID 2769862044, 52 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN25581FLMDSurgery Physician
2016022430MOMDSurgery Physician
T7743TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Trauma Medical Group, PLLC CurrentSince Sep 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.