Robert B Smith, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA02366 Issued in TX

Practice address

1400 Creek Way Dr
Suite 201a
Sugar Land, TX 77478-4072

Phone

(832) 770-3180

Fax

(888) 248-5252

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Houston Physicians Hospital Hospital, Webster, TX, CCN 670008
• Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/256/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/6286/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/15216/brand/1/csg/1/fhir/r4

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.

• PA Surgical Services Inc

  • Physician Assistant
  • Houston, TX
  • NPI 1881860948
  Medicare reassignment Authorized official
• James Alexander Ghadially MD PA

  • Orthopaedic Surgery Physician
  • Houston, TX
  • NPI 1326198813
  NPD (past)
• Southwest Orthopedic Group, LLP

  • Orthopaedic Surgery Physician
  • Houston, TX
  • NPI 1073644498
  NPD (past)
• QSS-Southeast Clinical Services LLC

  • Surgery Physician
  • Orlando, FL
  • NPI 1740521137
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hermann Health System

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Houston, TX
  • NPI 1437189115

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1982666111
  Care Compare affiliation
• Webster Surgical Specialty Hospital, LLC

  • General Acute Care Hospital
  • Webster, TX
  • NPI 1285699835
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1750309506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 US HIGHWAY 46",
            "address_2": "SUITE 400A",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041592",
            "telephone_number": "973-826-8080",
            "fax_number": "866-309-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CREEK WAY DR",
            "address_2": "SUITE 201A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784072",
            "telephone_number": "832-770-3180",
            "fax_number": "888-248-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA02366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181633201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N3694",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aneesha Smith, RN
• Avis M Smith, ED. D
• Dana S Smith, PHD, LCSW
• Kirk Alan Smith, LSA
• Marcia Demarje Smith
• Stacie Smith, MS, RD, LD
• Toussaint Smith, MD
• Smouse Chiropractic & Scoliosis Center
• Gary F. Smouse, D.C.
• Stephanie Michelle Smouse, D.C.

• Surgical Physician Assistant in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.