NPIMap

Individual provider Active NPI

Thomas Patrick Smith, MD

  • Orthopaedic Surgery Physician
  • Keesler Afb, MS
National Provider Identifier
1851894265
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
32137 Issued in MS
Practice address
301 Fisher Street
Keesler Afb, MS 39534
Phone
(228) 377-4666
Fax
(210) 916-7323
NPI assigned
Mar 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X
General Practice Physician 208D00000X 58321 AZ
Orthopaedic Surgery Physician 207X00000X 32137 MS Primary

Addresses

Primary practice location

301 Fisher Street
Keesler Afb, MS 39534

Mailing address

301 Fisher Street
Keesler Afb, MS 39534
Phone (228) 377-4666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20240520000201 MS Practitioner - Orthopedic Surgery 6406203207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

1397 Broad Ave
Gulfport, MS 39501-2419
Phone (228) 575-1945

3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1111

7001 Hwy 614
Coastal Ambulatory Services
Hurley, MS 39555-5340
Phone (228) 588-6622

Hospital & facility affiliations

  • Mississippi Homecare of Picayune Home health agency, Picayune, MS, CCN 257141
  • Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32137MSMDOrthopaedic Surgery Physician
58321AZMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Sep 11, 2023 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Singing River Health System CurrentSince Jan 1, 2025 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Sep 11, 2023 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

2781 C T Switzer SR Dr
Ste 402
Biloxi, MS 39531
Phone (228) 388-0949

147 Reynoir St
Ste 204
Biloxi, MS 39530
Phone (228) 374-6296

147 Reynoir St
Ste 301
Biloxi, MS 39530
Phone (228) 374-7949

1397 Broad Ave
Gulfport, MS 39501
Phone (228) 575-1945

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

Interoperability endpoints

  • Direct secure messaging: thomas.smith@direct.mhg.com

Organizations & group practices 6

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 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1851894265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FISHER STREET",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "39534",
            "telephone_number": "228-377-4666",
            "fax_number": "210-916-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FISHER STREET",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "39534",
            "telephone_number": "228-377-4666",
            "fax_number": "210-916-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2023-12-28",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "58321",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "32137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keesler Afb, MS

Sources for this page

Verify at the official NPI Registry.