Individual provider Active NPI

Nathan Ryan Smallwood, M.D.

  • Colon & Rectal Surgery Physician
  • Sherman, TX
National Provider Identifier
1609019934
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
Q3108 Issued in TX
Practice address
425 N Highland Ave Ste 130
Sherman, TX 75092-7383
Phone
(903) 892-9179
Fax
(903) 868-2317
NPI assigned
Apr 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q3108 TX
Student in an Organized Health Care Education/Training Program 390200000X
Colon & Rectal Surgery Physician 208C00000X Q3108 TX Primary

Addresses

Primary practice location

425 N Highland Ave Ste 130
Sherman, TX 75092-7383

Mailing address

PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2213

Other identifiers 2

IdentifierTypeStateIssuer
346152704MedicaidTX
346152703MedicaidTX

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
I20150604001877 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - Emergency MedicinePractitioner - General Surgery 7517288384 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Texas Medical School at Houston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Practice addresses (Care Compare)

4370 Medical Arts Dr
Suite 295
Flower Mound, TX 75028-1742
Phone (972) 691-3777

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324
  • Baylor Scott and White Surgical Hospital at Sherma Hospital, Sherman, TX, CCN 670076
  • Wilson N Jones Regional Medical Center Hospital, Sherman, TX, CCN 450469

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q3108TXMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc. Emergency Medicine CurrentSince May 21, 2015 Accepting new patients
Muenster Hospital District CurrentSince Jan 12, 2016 Accepting new patients
Sherman Grayson Hospital LLC Current Accepting new patients
Muenster Hospital District Emergency Medicine CurrentSince Jan 12, 2016 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Aug 1, 2020 Accepting new patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

5327 N Central Expy
Ste 200
Dallas, TX 75205
Phone (214) 520-8235

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

4370 Medical Arts Dr
Ste 295
Flower Mound, TX 75028
Phone (972) 691-3777

605 N Maple St
Muenster, TX 76252
Phone (940) 759-2271

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

425 N Highland Ave
Ste 130
Sherman, TX 75092
Phone (903) 868-7962

1615 N US Highway 75
Ste A
Sherman, TX 75090
Phone (903) 892-9179

Interoperability endpoints

  • Direct secure messaging: nathansmallwood@wnjrmc.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1609019934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35629",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752350629",
            "telephone_number": "214-424-2213",
            "fax_number": "214-231-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE STE 130",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927383",
            "telephone_number": "903-892-9179",
            "fax_number": "903-868-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "NATHAN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q3108",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "Q3108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346152704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346152703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.