Individual provider Active NPI

Ivonne E Smith, M.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1609878941
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K1302 Issued in TX
Practice address
7900 Fannin St Ste 4000
OBGYN Medical Center Associates PLLC
Houston, TX 77054-2935
Phone
(713) 512-7500
Fax
(713) 512-7636
NPI assigned
Jun 1, 2005
Last updated
Sep 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K1302 TX Primary

Addresses

Primary practice location

7900 Fannin St Ste 4000
OBGYN Medical Center Associates PLLC
Houston, TX 77054-2935

Mailing address

7900 Fannin St Ste 4000
OBGYN Medical Center Associates PLLC
Houston, TX 77054-2935
Phone (713) 512-7500

Other identifiers 2

IdentifierTypeStateIssuer
1512832-01MedicaidTX
88001GOtherTXBLUE CROSS & BLUE SHIELD

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
I20100917000311 TX Practitioner - Obstetrics/Gynecology 7315062049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jan 1, 2015 Accepting new patients
Privia Medical Group Gulf Coast, PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2015 Accepting new patients

Locations

7900 Fannin St
Houston, TX 77054
Phone (713) 442-7300

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

22999 Highway 59 N
Ste 150
Kingwood, TX 77339
Phone (281) 358-2426

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: ivonne.smith.1@8042.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1609878941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST STE 4000",
            "address_2": "OBGYN MEDICAL CENTER ASSOCIATES PLLC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542935",
            "telephone_number": "713-512-7500",
            "fax_number": "713-512-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST STE 4000",
            "address_2": "OBGYN MEDICAL CENTER ASSOCIATES PLLC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542935",
            "telephone_number": "713-512-7500",
            "fax_number": "713-512-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "IVONNE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K1302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512832-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "88001G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.