NPIMap

Individual provider Active NPI

Scott G. Smith, D.O.

  • Vascular & Interventional Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1699902320
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
N4761 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0937
NPI assigned
Jun 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X N4761 TX Primary

Addresses

Primary practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140908001904 TX Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3678792587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

11801 S Fwy
Burleson, TX 76028-7021
Phone (817) 321-0404

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 321-0937

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 321-0937

215 Old Hwy 1187
Burleson, TX 76028-0281
Phone (817) 321-0404

6100 Harris Pkwy
Fort Worth, TX 76132-4101
Phone (817) 321-0937

800 W Magnolia Ave
Fort Worth, TX 76104-4611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC CurrentSince Apr 1, 2017 Accepting new patients
Health Imaging Partners, LLC CurrentSince Oct 1, 2015 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Health Imaging Partners, LLC CurrentSince Mar 2, 2016 Accepting new patients
Health Imaging Partners, LLC CurrentSince Apr 1, 2017 Accepting new patients
Health Imaging Partners, LLC CurrentSince Apr 14, 2022 Accepting new patients
Radiology Associates of North Texas CurrentSince Oct 1, 2015 Accepting new patients
Health Imaging Partners, LLC CurrentSince Oct 1, 2015 Accepting new patients
Radiology Associates of North Texas PA Vascular & Interventional Radiology CurrentSince Oct 1, 2015 Accepting new patients
Health Imaging Partners, LLC CurrentSince Oct 1, 2015 Accepting new patients
Health Imaging Partners LLC CurrentSince May 1, 2017 Accepting new patients
Health Imaging Partners LLC CurrentSince Mar 1, 2017 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

1622 8th Ave
Ste 120
Fort Worth, TX 76104
Phone (817) 923-8220

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

Interoperability endpoints

  • Direct secure messaging: ssmith33377@cookchildrens.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1245542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1699902320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "telephone_number": "817-321-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-21",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "N4761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.