Individual provider Active NPI

Steven J Smith, M.D. P.A.

  • Dermatology Physician
  • Kingwood, TX
National Provider Identifier
1881687457
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
F-7619 Issued in TX
Practice address
19701 Kingwood Dr # 6
Kingwood, TX 77339-3772
Phone
(281) 359-6000
Fax
(281) 359-8006
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X F-7619 TX Primary

Addresses

Primary practice location

19701 Kingwood Dr # 6
Kingwood, TX 77339-3772

Mailing address

19701 Kingwood Dr # 6
Kingwood, TX 77339-3772
Phone (281) 359-6000

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
I20040615000838 TX Practitioner - Dermatology 7012990690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio State University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Surgery Associates P.a.Group PAC ID 9436124278, 24 clinicians

Practice addresses (Care Compare)

6700 W Loop S
Suite 500
Bellaire, TX 77401-4120
Phone 7137919966130

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as individual
Quality
60.71
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of tissue1-10
Removal of skin lesions2429
Removal of skin cancer1-10
Removal or shaving of skin growth58
Skin biopsy570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F-7619TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Surgery Associates P.a. Dermatology CurrentSince Jan 1, 2017 Accepting new patients
Dermsouth, PA Dermatology Past Accepting new patients

Locations

6700 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 791-9966

19701 Kingwood Dr
Bldg 6
Kingwood, TX 77339
Phone (281) 359-6000

Organizations & group practices 2

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1881687457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR # 6",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393772",
            "telephone_number": "281-359-6000",
            "fax_number": "281-359-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR # 6",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393772",
            "telephone_number": "281-359-6000",
            "fax_number": "281-359-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.  P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F-7619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.