Active NPI
Jessie Marye Smith, MD
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1902538416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- W5566
- Practice address
- 6651 Main St
Houston, TX 77030-2351 - Phone
- (832) 824-1000
- NPI assigned
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | W5566 | TX | Primary |
| Pediatric Cardiology Physician | 2080P0202X | W5566 | TX |
Addresses
Primary practice location
6651 Main St
Houston, TX 77030-2351
Mailing address
6651 Main St
Houston, TX 77030-2351
Phone (832) 824-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200112931 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients |
Locations
1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104
1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076
660 S Euclid Ave
Saint Louis, MO 63110
1 Childrens Pl
Ste 3S34
Saint Louis, MO 63110
Phone (314) 454-5437
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1194765685
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1902538416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6651 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302351",
"telephone_number": "832-824-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6651 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302351",
"telephone_number": "832-824-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JESSIE",
"middle_name": "MARYE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "W5566",
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "TX",
"license": "W5566",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200112931",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "1 Childrens Pl",
"address_2": "Div Ped Hospitalist Med",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.