Susan Michaelle Smart, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L1753 Issued in TX

Practice address

9100 Lakeview Pkwy
Rowlett, TX 75088-4537

Phone

(972) 412-3034

Fax

(972) 412-1949

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lake Ray Hubbard Pediatrics

  • Pediatrics Physician
  • Rowlett, TX
  • NPI 1427061308
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871550160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 TRUMPETER WAY",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325856",
            "telephone_number": "469-698-9335",
            "fax_number": "972-412-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884537",
            "telephone_number": "972-412-3034",
            "fax_number": "972-412-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "SUSAN",
        "middle_name": "MICHAELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L1753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8G9352",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sisters Home Health Care Inc.
• Sisters Home Health Care Inc.
• Vianca Nayely Sittard
• Laura B Small, LCSW
• Melissa Gay Small
• Smile Effects Dental & Orthodontics
• Angela L Smith, CRNA
• Bailey Smith
• Denise M Smith, SA-C
• Sarah Nicole Smith

• Pediatrics Physician in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.