Individual provider Active NPI

Teresa Kay Smith-Knuppel, MD

  • Family Medicine Physician
  • Del Valle, TX
National Provider Identifier
1841512019
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N2817 Issued in TX
Practice address
4820 Ross Rd
Del Valle, TX 78617
Phone
(512) 516-8450
Fax
(512) 516-8460
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N2817 TX Primary

Addresses

Primary practice location

4820 Ross Rd
Del Valle, TX 78617

Mailing address

4820 Ross Rd
Del Valle, TX 78617
Phone (512) 516-8450

Other names 1

  • Teresa Kay Smith Former name

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
I20100920000327 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 1052436698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Texas Medical School at Houston, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

1750 Round Rock Ave
Suite 100
Round Rock, TX 78681-4215
Phone (512) 388-9495

4820 Ross Rd
Del Valle, TX 78617-3293
Phone (512) 516-8450

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

830 Kohlers Xing
Suite 100
Kyle, TX 78640-2473
Phone (512) 268-2613

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Family Medicine Current Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Oct 6, 2014 Accepting new patients
Covenant Medical Group Family Medicine Past Accepting new patients
Allied Institute of Medicine, PLLC Family Medicine Past Accepting new patients

Locations

6406 N Interstate 35
Ste 2600
Austin, TX 78752
Phone (512) 465-4800

4820 Ross Rd
Del Valle, TX 78617
Phone (512) 284-9427

220 W Goodwin St
Ste A
Pleasanton, TX 78064
Phone (830) 268-4866

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: teresa.smithknuppel@wellmed.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1841512019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 ROSS RD",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "78617",
            "telephone_number": "512-516-8450",
            "fax_number": "512-516-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 ROSS RD",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "78617",
            "telephone_number": "512-516-8450",
            "fax_number": "512-516-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-KNUPPEL",
        "first_name": "TERESA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N2817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "SMITH",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Del Valle, TX

Sources for this page

Verify at the official NPI Registry.