Active NPI
Paul J Smelter, M.D.
- Family Medicine Physician
- Mesquite, TX
National Provider Identifier
1528078714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P5004
- Practice address
- 820 East Cartwright, Suite 100
Mesquite, TX 75149 - Phone
- (214) 320-7600
- Fax
- (214) 320-7690
- NPI assigned
- Aug 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036057595 | IL | |
| Family Medicine Physician | 207Q00000X | P5004 | TX | Primary |
Addresses
Primary practice location
820 East Cartwright, Suite 100
Mesquite, TX 75149
Mailing address
820 East Cartwright, Suite 100
Mesquite, TX 75149
Phone (214) 320-7600
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036057595 | Medicaid | IL | |
| 14D0435769 | Other | IL | CLIA |
| 6394P | Other | IL | CATERPILLAR |
| 101738 | Other | IL | HEALTHLINK |
| 133586700 | Other | IL | ACS-OWCP |
| 08421024 | Other | IL | BC/BS |
| 232889 | Other | IL | PERSONAL CARE |
| P00194441 | Other | IL | RR MEDICARE PIN |
| 103476 | Other | IL | HEALTH ALLIANCE |
| 036057595 | Other | IL | IL STATE LICENSE |
| 020057300 | Other | IL | BLACK LUNG |
| CD7143 | Other | IL | RR MEDICARE GROUP |
| P5004 | Other | TX | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036057595 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Group Associates S C | Past | Accepting new patients | |
| Physicians Group Associates S C | Family Medicine | Past | Accepting new patients |
| Physicians Group Associates S C | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1528078714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 EAST CARTWRIGHT, SUITE 100",
"city": "MESQUITE",
"state": "TX",
"postal_code": "75149",
"telephone_number": "214-320-7600",
"fax_number": "972-329-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 EAST CARTWRIGHT, SUITE 100",
"city": "MESQUITE",
"state": "TX",
"postal_code": "75149",
"telephone_number": "214-320-7600",
"fax_number": "214-320-7690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMELTER",
"first_name": "PAUL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036057595",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P5004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036057595",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "14D0435769",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CATERPILLAR",
"identifier": "6394P",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "101738",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS-OWCP",
"identifier": "133586700",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "08421024",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CARE",
"identifier": "232889",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00194441",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "103476",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL STATE LICENSE",
"identifier": "036057595",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "020057300",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CD7143",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "P5004",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.