Active NPI
Kerrylynne Smith, D.O.
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- V5713
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229-4402 - Phone
- (210) 358-4000
- Fax
- (210) 358-8002
- NPI assigned
- May 5, 2014
- Sex
- Female
- 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 | OP60572152 | WA | |
| Family Medicine Physician | 207Q00000X | V5713 | TX | Primary |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000
Other practice location 1
1202 Martin Luther King Jr Way
Hilltop Regional Health Center
Tacoma, WA 98405-3926
Phone (253) 441-4742
Other practice location 2
747 Broadway
Seattle, WA 98122-4379
Phone (206) 215-2520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- West Virginia School of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-2015
Hospital & facility affiliations
- University Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3795 | TN | MD | Pediatric Nutrition Registered Dietitian |
| V5713 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Associates | Family Medicine | Current | Accepting new patients |
| Bexar County Hospital District | Past | Accepting new patients |
Locations
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
Interoperability endpoints
- ksmith743042@uhssa.direct-ci.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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1588074157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000",
"fax_number": "210-358-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000",
"fax_number": "210-358-8002"
}
],
"practiceLocations": [
{
"address_1": "1202 Martin Luther King Jr Way",
"address_2": "Hilltop Regional Health Center",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984053926",
"country_code": "US",
"telephone_number": "253-441-4742",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "747 Broadway",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981224379",
"country_code": "US",
"telephone_number": "206-215-2520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "KERRYLYNNE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP60572152",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "V5713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.