Active NPI
Roy Bascom Smith, M.D.
- Orthopaedic Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- E2862
- Practice address
- 6624 Fannin St
Suite 2600
Houston, TX 77030-2312 - Phone
- (713) 790-1818
- Fax
- (713) 790-7500
- NPI assigned
- Jun 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E2862 | TX | Primary |
Addresses
Primary practice location
6624 Fannin St
Suite 2600
Houston, TX 77030-2312
Mailing address
6624 Fannin St
Suite 2600
Houston, TX 77030-2312
Phone (713) 790-1818
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 741660214 | Other | TX | HEALTH NEW ENGLAND |
| 8FE194 | Other | TX | BLUE CROSS BLUE SHIELD |
| 125477305 | Medicaid | TX | |
| 200016148 | Other | TX | MEDICARE RAILROAD |
| 2960776 | Other | TX | CIGNA |
| 1254773-02 | Medicaid | TX | |
| P01556981 | Other | TX | RR MEDICARE |
| 843084 | Other | TX | BCBS |
| 125477306 | Medicaid | TX | |
| 4211561 | Other | TX | AETNA US HEALTHCARE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Kelsey-Seybold Medical Group, PLLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
6624 Fannin St
Ste 2600
Houston, TX 77030
Phone (713) 790-1818
6550 Fannin St
Ste 1150
Houston, TX 77030
Phone (713) 441-2670
6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633
2950 Cullen Blvd
Ste 101
Pearland, TX 77584
Phone (281) 977-7444
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- roy.smith.1@19643.direct.athenahealth.com
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.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1568403699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6624 FANNIN ST",
"address_2": "SUITE 2600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302312",
"telephone_number": "713-790-1818",
"fax_number": "713-790-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6624 FANNIN ST",
"address_2": "SUITE 2600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302312",
"telephone_number": "713-790-1818",
"fax_number": "713-790-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROY",
"middle_name": "BASCOM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "E2862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "741660214",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8FE194",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125477305",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "200016148",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2960776",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1254773-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01556981",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "843084",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125477306",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "4211561",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.