Individual provider Active NPI

Justin Gil Smith, M.D.

  • Diagnostic Radiology Physician
  • Round Rock, TX
National Provider Identifier
1508019084
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P6277 Issued in TX
Practice address
1650 Round Rock Ave Ste 100
Round Rock, TX 78681-4082
Phone
(866) 552-4866
NPI assigned
Oct 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X P6277 TX Primary

Addresses

Primary practice location

1650 Round Rock Ave Ste 100
Round Rock, TX 78681-4082

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472

Other practice location 1

1640 Highland Falls Dr Ste 601
Leander, TX 78641-4842
Phone (866) 552-4866

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
I20140825002432 TX Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9830317338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

1650 Round Rock Ave
Suite 100
Round Rock, TX 78681-4082
Phone (866) 552-4866

Merit-based Incentive Payment System (MIPS)

Final score
70.97 of 100Reported as group
Quality
43.69
Promoting interoperability
91
Improvement activities
40
Cost
67.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal778

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Partners PLLC CurrentSince Jun 1, 2019 Accepting new patients
Interventional Partners PLLC Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients

Locations

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

2150 N Josey Ln
Carrollton, TX 75006
Phone (972) 242-0660

8135 Forest Ln
Dallas, TX 75230
Phone (469) 850-5760

5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161

23510 Kingsland Blvd
Ste 1
Katy, TX 77494

1640 Highland Falls Dr
Ste 601
Leander, TX 78641
Phone (512) 345-7436

1650 Round Rock Ave
Ste 100
Round Rock, TX 78681
Phone (512) 551-1403

19016 Stone Oak Pkwy
Ste 180
San Antonio, TX 78258
Phone (210) 490-4661

4690 Sweetwater Blvd
Ste 2
Sugar Land, TX 77479
Phone (713) 777-4785

4690 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (214) 838-6440

251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440

Interoperability endpoints

  • Direct secure messaging: justin.smith.1@2477.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1508019084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ROUND ROCK AVE STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814082",
            "telephone_number": "866-552-4866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Highland Falls Dr Ste 601",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786414842",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUSTIN",
        "middle_name": "GIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P6277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.