Katherine Smith Carlisle, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

W6191 Issued in TX

Practice address

7979 Wurzbach Rd FL 3
San Antonio, TX 78229-4427

Phone

(210) 450-9840

Fax

(210) 450-6064

NPI assigned

Apr 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Taylor Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Dermatology

Education

University of Texas Medical School at San Antonio, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: ksmith30540@direct.utmsa.com

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.

• University of Texas Health Science Center at San Antonio

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
  • NPI 1538224142
  NPD (past)
• University of Texas Health Science Center at San Antonio

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717
  NPD (past)

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1720729486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7979 WURZBACH RD FL 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294427",
            "telephone_number": "210-450-9840",
            "fax_number": "210-450-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 WURZBACH RD FL 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294427",
            "telephone_number": "210-450-9840",
            "fax_number": "210-450-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "KATHERINE",
        "middle_name": "SMITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "W6191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SMITH",
            "middle_name": "TAYLOR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Marie Carlin, OTR
• Maricela Carlin, CNIM
• Vivian Carlin, M.D.
• Daniel Charles Carlisle, MD
• Jada Carlisle
• Kennedy Carlisle
• Lee Carlisle, MD
• Rashonda Alberta Carlisle, MD
• Carlos a Lozano MD PA
• Carlos D. Godinez, Jr., M.D., PLLC

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.