Individual provider Active NPI

Arthur Lee Smith, MD

  • Diagnostic Radiology Physician
  • Port Arthur, TX
National Provider Identifier
1821052606
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
H0007 Issued in TX
Practice address
2555 Jimmy Johnson Blvd
Port Arthur, TX 77643
Phone
(409) 853-5863
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X H0007 TX Primary

Addresses

Primary practice location

2555 Jimmy Johnson Blvd
Port Arthur, TX 77643

Mailing address

PO Box 1888
Greenville, TX 75403
Phone (800) 945-2455

Other identifiers 1

IdentifierTypeStateIssuer
136905002MedicaidTX

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
I20041013000530 TX Practitioner - Diagnostic Radiology 2163482233 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0007TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star MCD, LLC CurrentSince Sep 3, 2019 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Sep 3, 2019 Accepting new patients
North Star MRI of Frisco LP CurrentSince Sep 3, 2019 Accepting new patients
North Star Plano Parkway, LP CurrentSince Sep 3, 2019 Accepting new patients
North Star GV, LP CurrentSince Sep 3, 2019 Accepting new patients
North Star FP, LP CurrentSince Sep 3, 2019 Accepting new patients
North Star MCD LLC CurrentSince Sep 3, 2019 Accepting new patients
North Star FM, LP CurrentSince Sep 19, 2019 Accepting new patients
North Star MCD, LLC Current Accepting new patients
North Star MRI LP CurrentSince Sep 1, 2019 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology Past Accepting new patients

Locations

997 Raintree Cir
Ste 110
Allen, TX 75013

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

8501 Wade Blvd
#220N
Frisco, TX 75034

2535 Ira E Woods Ave
Ste 101
Grapevine, TX 76051

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1821052606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1888",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75403",
            "telephone_number": "800-945-2455",
            "fax_number": "903-453-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77643",
            "telephone_number": "409-853-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ARTHUR",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H0007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136905002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.