Individual provider Active NPI

Barbara Ann Smythe, M.D.

  • Specialist
  • Grapevine, TX
National Provider Identifier
1609869692
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J1788 Issued in TX
Practice address
1602 Lancaster Dr
Suite 102
Grapevine, TX 76051-3579
Phone
(817) 885-7878
Fax
(817) 885-7444
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J1788 TX Primary
Ophthalmology Physician 207W00000X J1788 TX

Addresses

Primary practice location

1602 Lancaster Dr
Suite 102
Grapevine, TX 76051-3579

Mailing address

1602 Lancaster Dr
Suite 102
Grapevine, TX 76051-3574
Phone (817) 885-7878

Other identifiers 2

IdentifierTypeStateIssuer
4198306OtherTXAETNA INSURANCE
8R9200OtherTXBCBS

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
I20041228000047 TX Practitioner - Ophthalmology 0143288969 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Specialists of Texas SHP PA CurrentSince Feb 1, 2005 Accepting new patients
Advanced Glaucoma Diagnostic and Treatment Center, P.a. Ophthalmology Past Accepting new patients
Acclaim Physician Group, Inc Past Accepting new patients

Locations

1650 W Rosedale St
Ste 201
Ft Worth, TX 76104
Phone (817) 885-7442

1602 Lancaster Dr
Ste 102
Grapevine, TX 76051
Phone (817) 329-8364

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1609869692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 LANCASTER DR",
            "address_2": "SUITE 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513574",
            "telephone_number": "817-885-7878",
            "fax_number": "817-885-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 LANCASTER DR",
            "address_2": "SUITE 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513579",
            "telephone_number": "817-885-7878",
            "fax_number": "817-885-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTHE",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1788",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J1788",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "4198306",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R9200",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.