Individual provider Active NPI

Kelly J Smith, MD

  • Pediatric Pulmonology Physician
  • San Antonio, TX
National Provider Identifier
1528198405
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
M3394 Issued in TX
Practice address
4114 Pond Hill Rd Ste 101
San Antonio, TX 78231-1273
Phone
(210) 249-5020
Fax
(210) 572-1540
NPI assigned
Mar 7, 2007
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X M3394 TX Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X M3394 TX
Pediatric Sleep Medicine Physician 2080S0012X M3394 TX

Addresses

Primary practice location

4114 Pond Hill Rd Ste 101
San Antonio, TX 78231-1273

Mailing address

PO Box 781383
San Antonio, TX 78278-1383
Phone (210) 249-5020

Other practice location 1

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-3030

Other identifiers 1

IdentifierTypeStateIssuer
19177340-02MedicaidTX

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
I20080310000203 TX Practitioner - Pediatric MedicinePractitioner - Pulmonary DiseasePractitioner - Other (Physician) 8820173289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Pulmonary Disease
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 0648405738, 36 clinicians
Texas Medical and Sleep Specialists, PLLCGroup PAC ID 6901955814, 3 clinicians

Practice addresses (Care Compare)

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-4849

4114 Pond Hill Rd
San Antonio, TX 78231-1273
Phone (210) 249-5020

545 Creekside Xing
Suite 206
New Braunfels, TX 78130-4565
Phone (210) 249-5020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3394TXMDPediatric Sleep Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Medical and Sleep Specialists, PLLC Sleep Medicine CurrentSince Apr 15, 2009 Accepting new patients
Academy Diagnostics LLC CurrentSince Jul 1, 2017 Accepting new patients
Rockcastle County Hospital, Inc. Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Kelly J Smith MD PA Pediatric Pulmonology Past Accepting new patients

Locations

21308 Provincial Blvd
Katy, TX 77450
Phone (281) 206-8201

1533 E Common St
New Braunfels, TX 78130
Phone (214) 331-1567

4114 Pond Hill Rd
Ste 101
San Antonio, TX 78231

4114 Pond Hill Rd
Ste 102
San Antonio, TX 78231
Phone (210) 761-5448

5282 Medical Dr
Ste 120
San Antonio, TX 78229
Phone (210) 615-3700

8215 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 616-9500

Interoperability endpoints

  • Direct secure messaging: ksmith@txmss.gwaydirect.com
  • Direct secure messaging: ksmith415663@christushealth.direct-ci.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1528198405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781383",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782781383",
            "telephone_number": "210-249-5020",
            "fax_number": "210-494-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 POND HILL RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311273",
            "telephone_number": "210-249-5020",
            "fax_number": "210-572-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Santa Rosa",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782073108",
            "country_code": "US",
            "telephone_number": "210-704-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "TX",
            "license": "M3394",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "M3394",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "TX",
            "license": "M3394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19177340-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.