Individual provider Active NPI

Matthew Donald Smith Sr., M.D.

  • Anesthesiology Physician
  • Jbsa Fort Sam Houston, TX
National Provider Identifier
1609309525
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
31330 Issued in NE
Practice address
3551 Roger Brooke Dr.
McHe/Me
Jbsa Fort Sam Houston, TX 78234
Phone
(812) 360-0272
NPI assigned
Apr 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 31330 NE
General Practice Physician 208D00000X 31330 NE
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 31330 NE Primary

Addresses

Primary practice location

3551 Roger Brooke Dr.
McHe/Me
Jbsa Fort Sam Houston, TX 78234

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

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
I20230324000639 TX Practitioner - Anesthesiology 9032583547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Anesthesia Partners PLLCGroup PAC ID 4880072636, 58 clinicians

Practice addresses (Care Compare)

423 Treeline Park
Suite 202
San Antonio, TX 78209-2078
Phone (910) 949-6000

5106 W Loop 1604
San Antonio, TX 78251-4408
Phone (726) 243-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31330NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergenchealth PLLC Anesthesiology CurrentSince Mar 11, 2023 Accepting new patients
Lone Star Anesthesia Partners PLLC Anesthesiology CurrentSince Dec 17, 2023 Accepting new patients

Locations

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

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.

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1609309525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR.",
            "address_2": "MCHE/ME",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "812-360-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NE",
            "license": "31330",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "31330",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "31330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.