Active NPI
Dr Smriti Prasad MD MPH
- Dermatology Physician
- Odessa, TX
National Provider Identifier
1861289704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DR SMRITI PRASAD MD MPH
- Practice address
- 4120 San Antonio Street
Odessa, TX 79765 - Phone
- (432) 894-5015
- NPI assigned
- Apr 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Smriti Prasad
- Title
- Medical Director
- Phone
- (432) 333-9200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
4120 San Antonio Street
Odessa, TX 79765
Mailing address
4120 San Antonio
Odessa, TX 79765
Phone (432) 333-9200
Other names 1
- Texas Dermatology and Facial Plastics, PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2328147 | Texas Dermatology & Facial Plastics | Registration | Aug 4, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1861289704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 SAN ANTONIO",
"city": "ODESSA",
"state": "TX",
"postal_code": "79765",
"telephone_number": "432-333-9200",
"fax_number": "432-333-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 SAN ANTONIO STREET",
"city": "ODESSA",
"state": "TX",
"postal_code": "79765",
"telephone_number": "432-894-5015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR SMRITI PRASAD MD MPH",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-23",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "PRASAD",
"authorized_official_first_name": "SMRITI",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "432-333-9200"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Texas Dermatology and Facial Plastics, PLLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Texas Dermatology and Facial Plastics, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.