Individual provider Active NPI

Landon Ensign Smith, M.D.

  • Internal Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1689853368
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N4760 Issued in TX
Practice address
555 Creekside Xing
New Braunfels, TX 78130-2594
Phone
(830) 387-5270
Fax
(830) 387-5329
NPI assigned
Oct 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N4760 TX Primary

Addresses

Primary practice location

555 Creekside Xing
New Braunfels, TX 78130-2594

Mailing address

8711 Village Dr
Suite 114
San Antonio, TX 78217-5418
Phone (830) 387-5270

Other identifiers 1

IdentifierTypeStateIssuer
215519406MedicaidTX

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
I20100929001186 TX Practitioner - Internal Medicine 2668598459 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Internal Medicine CurrentSince Jun 23, 2013 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 23, 2013 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Nov 5, 2018 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Nov 5, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Poppy Drive Inpatient Services PLLC Internal Medicine CurrentSince Jul 31, 2015 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Wellmed Medical Group, PA Internal Medicine Past Accepting new patients
Quantum Emergency Physicians PA Internal Medicine Past Accepting new patients

Locations

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

1801 Inwood Rd
Fl Seventh
Dallas, TX 75235

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 10

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1689853368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 VILLAGE DR",
            "address_2": "SUITE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175418",
            "telephone_number": "830-387-5270",
            "fax_number": "830-387-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CREEKSIDE XING",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302594",
            "telephone_number": "830-387-5270",
            "fax_number": "830-387-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LANDON",
        "middle_name": "ENSIGN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N4760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215519406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.