Individual provider Active NPI

Michael Leigh Smith, M.D.

  • Cardiovascular Disease Physician
  • Beaumont, TX
National Provider Identifier
1790881373
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
F7178 Issued in TX
Practice address
3345 Plaza 10 Dr
E
Beaumont, TX 77707-2554
Phone
(409) 838-2626
Fax
(409) 838-1980
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X F7178 TX Primary

Addresses

Primary practice location

3345 Plaza 10 Dr
E
Beaumont, TX 77707-2554

Mailing address

3345 Plaza 10 Dr
E
Beaumont, TX 77707-2554
Phone (409) 838-2626

Other identifiers 1

IdentifierTypeStateIssuer
138511413MedicaidTX

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
I20130122000511 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6204995467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Texas Medical Branch at Galveston, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

3345 Plaza 10 Dr
Suite E
Beaumont, TX 77707-2553
Phone (409) 212-5340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network CurrentSince Aug 1, 2023 Accepting new patients
Southeast Texas Cardiology Associates II LLP Cardiovascular Disease PastSince Oct 1, 2018 Accepting new patients
Smith and Thome Cardiovascular Consultants, LLP Cardiovascular Disease Past Accepting new patients

Locations

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

3345 Plaza 10 Dr
Ste E
Beaumont, TX 77707
Phone (409) 838-2626

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5553/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1790881373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "E",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072554",
            "telephone_number": "409-838-2626",
            "fax_number": "409-838-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "E",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072554",
            "telephone_number": "409-838-2626",
            "fax_number": "409-838-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F7178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138511413",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.