NPIMap

Individual provider Active NPI

Paul Heermans Smith Jr., M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1770585176
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G7003 Issued in TX
Practice address
6402 N New Braunfels Ave
San Antonio, TX 78209-3827
Phone
(210) 824-5392
Fax
(210) 824-3986
NPI assigned
Aug 15, 2005
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 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 G7003 TX Primary

Addresses

Primary practice location

6402 N New Braunfels Ave
San Antonio, TX 78209-3827

Mailing address

6402 N New Braunfels Ave
San Antonio, TX 78209-3827
Phone (210) 824-5392

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
I20100924000963 TX Practitioner - Internal Medicine 6406889450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Vanderbilt University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

26112 Overlook Pkwy
Suite 1100
San Antonio, TX 78260-6054
Phone (210) 497-2338

311 Nottingham PL W
San Antonio, TX 78209-1887
Phone (210) 824-2314

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

4103 N Loop 1604
San Antonio, TX 78249-1380
Phone (210) 541-8689

430 W Sunset Rd
San Antonio, TX 78209-1770

5929 Broadway
San Antonio, TX 78209-5235
Phone (210) 657-2100

855 E Basse Rd
San Antonio, TX 78209-1890
Phone (210) 572-2955

8811 Village Dr
San Antonio, TX 78217-5415

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jan 1, 2014 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jan 1, 2014 Accepting new patients
Wellmed Medical Group, PA Internal Medicine Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

6402 N New Braunfels Ave
San Antonio, TX 78209
Phone (210) 824-5392

8711 Village Dr
Ste 114
San Antonio, TX 78217
Phone (210) 297-2244

Interoperability endpoints

  • Direct secure messaging: paul.smith.1@1438.direct.athenahealth.com

Organizations & group practices 4

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 8

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1770585176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 N NEW BRAUNFELS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093827",
            "telephone_number": "210-824-5392",
            "fax_number": "210-824-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 N NEW BRAUNFELS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093827",
            "telephone_number": "210-824-5392",
            "fax_number": "210-824-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAUL",
        "middle_name": "HEERMANS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G7003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.