Individual provider Active NPI

Kyle James Smith, MD

  • Interventional Cardiology Physician
  • Tyler, TX
National Provider Identifier
1902817992
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
M2117 Issued in TX
Practice address
1783 Troup Hwy
Tyler, TX 75701-5869
Phone
(903) 595-2283
Fax
(903) 597-2238
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2117 TX
Interventional Cardiology Physician 207RI0011X M2117 TX Primary
Cardiovascular Disease Physician 207RC0000X M2117 TX

Addresses

Primary practice location

1783 Troup Hwy
Tyler, TX 75701-5869

Mailing address

1783 Troup Hwy
Tyler, TX 75701-5869
Phone (903) 595-2283

Other practice location 1

630 Hurst St
Center, TX 75935-3414
Phone (903) 595-2283

Other practice location 2

105 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 595-2283

Other practice location 3

3201 S Loop 256 Ste 5000
Palestine, TX 75801-6901
Phone (903) 595-2283

Other practice location 4

2001 W Ferguson Rd Ste 1000
MT Pleasant, TX 75455-2962
Phone (903) 595-2283

Other practice location 5

1050 E Loop 304 Ste 110
Crockett, TX 75835-1814
Phone (903) 595-2283

Other practice location 6

502 E Goode St Ste 1E
Quitman, TX 75783-2539
Phone (903) 595-2283

Other practice location 7

605 W Commerce Street
Fairfield, TX 75840-1401
Phone (903) 595-2283

Other practice location 8

1108 S Buffalo St
Canton, TX 75103-2304
Phone (903) 595-2283

Other practice location 9

126 W Main St Ste C
Gun Barrel City, TX 75156-5404
Phone (903) 595-2283

Other practice location 10

1505 State Highway 19 S
Athens, TX 75751-8950
Phone (903) 675-6800

Other practice location 11

703 S Fleishel Ave Ste 5000
Tyler, TX 75701-2015
Phone (903) 606-2548

Other practice location 12

2001 W Ferguson Rd
Mount Pleasant, TX 75455-2925
Phone (903) 595-2283

Other practice location 13

707 E Marshall Ave
Longview, TX 75601-5545
Phone (903) 315-4882

Other identifiers 3

IdentifierTypeStateIssuer
8F7574OtherTXBCBS
P00736592OtherTXRR MEDICARE
203368001MedicaidTX

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
I20090702000352 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7618028689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

105 -II Medical PLZ
Christus Trinity Clinic
Sulphur Springs, TX 75482-2105
Phone (903) 885-5439

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

1302 N Pacific St
Christus Trinity Clinic
Mineola, TX 75773-1022
Phone (903) 569-5383

1505 S Palestine St
Athens, TX 75751-8950
Phone (903) 675-6800

1505 State Hwy 19 S
Christus Trinity Clinic
Athens, TX 75751-8950
Phone (903) 675-1725

1783 Troup Hwy
Tyler, TX 75701-5869
Phone (903) 595-2283

18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841

2001 W Ferguson Rd
Suite 1000
Mt Pleasant, TX 75455-2962
Phone (903) 606-7480

20208 State Hwy 155 S
Christus Trinity Clinic
Flint, TX 75762-5600
Phone (903) 825-6222

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 541-4599

3201 S Loop
Palestine, TX 75801-6901

3203 S Main St
Christus Trinity Clinic
Lindale, TX 75771-7727
Phone (903) 266-4000

3593 E Grande Blvd
Christus Trinity Clinic
Tyler, TX 75707-1400
Phone (903) 839-2585

3802 Manhatton Dr
Tyler, TX 75701-9451
Phone (903) 509-8888

520 Douglas Blvd
Tyler, TX 75702-8307
Phone (903) 593-1721

5321 S FM
14 Christus Trinity Clinic
Holly Lake Ranch, TX 75765-4839
Phone (903) 769-2990

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

700 S Fleishel Ave
Tyler, TX 75701-2014
Phone (903) 606-5600

719 W Coke Rd
Christus Trinity Clinic
Winnsboro, TX 75494-3011
Phone (903) 342-5227

800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186

803 Hwy 31 E
Christus Trinity Clinic
Chandler, TX 75758-0373
Phone (903) 849-5756

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting42
Pacemaker insertion or repair1-10
Varicose vein removal29
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jan 15, 2023 Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince Feb 1, 2017 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Jan 15, 2023 Accepting new patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince Feb 1, 2017 Accepting new patients
Youngs Professional Services LLC PastSince Jul 13, 2009 Accepting new patients

Locations

1505 State Highway 19 S
Athens, TX 75751
Phone (903) 675-1725

1108 S Buffalo St
Canton, TX 75103
Phone (903) 567-1910

630 Hurst St
Center, TX 75935
Phone (936) 657-1944

126 W Main St
Ste C
Gun Barrel City, TX 75156
Phone (214) 912-0616

105 Zeid Blvd
Henderson, TX 75652
Phone (903) 315-5612

2001 W Ferguson Rd
Ste 1000
Mt Pleasant, TX 75455
Phone (903) 606-7480

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

3201 S Loop 256
Ste 5000
Palestine, TX 75801

502 E Goode St
Ste 1E
Quitman, TX 75783
Phone (903) 763-5402

703 S Fleishel Ave
Ste 5000
Tyler, TX 75701
Phone (903) 525-2992

1783 Troup Hwy
Tyler, TX 75701
Phone 90359522832057

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: ksmith355762@ahs.direct-ci.com
  • Direct secure messaging: ksmith7324@christushealth.direct-ci.net

Organizations & group practices 5

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1902817992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015869",
            "telephone_number": "903-595-2283",
            "fax_number": "903-597-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
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            "telephone_number": "903-595-2283",
            "fax_number": "903-597-2238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Hurst St",
            "address_purpose": "LOCATION",
            "city": "Center",
            "state": "TX",
            "postal_code": "759353414",
            "country_code": "US",
            "telephone_number": "903-595-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Zeid Blvd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TX",
            "postal_code": "756526070",
            "country_code": "US",
            "telephone_number": "903-595-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 S Loop 256 Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "758016901",
            "country_code": "US",
            "telephone_number": "903-595-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 W Ferguson Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "TX",
            "postal_code": "754552962",
            "country_code": "US",
            "telephone_number": "903-595-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 E Loop 304 Ste 110",
            "address_purpose": "LOCATION",
            "city": "Crockett",
            "state": "TX",
            "postal_code": "758351814",
            "country_code": "US",
            "telephone_number": "903-595-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 E Goode St Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Quitman",
            "state": "TX",
            "postal_code": "757832539",
            "country_code": "US",
            "telephone_number": "903-595-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 W Commerce Street",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "TX",
            "postal_code": "758401401",
            "country_code": "US",
            "telephone_number": "903-595-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1108 S Buffalo St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "TX",
            "postal_code": "751032304",
            "country_code": "US",
            "telephone_number": "903-595-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 W Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751565404",
            "country_code": "US",
            "telephone_number": "903-595-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 State Highway 19 S",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757518950",
            "country_code": "US",
            "telephone_number": "903-675-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 S Fleishel Ave Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012015",
            "country_code": "US",
            "telephone_number": "903-606-2548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 W Ferguson Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "TX",
            "postal_code": "754552925",
            "country_code": "US",
            "telephone_number": "903-595-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015545",
            "country_code": "US",
            "telephone_number": "903-315-4882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2117",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "M2117",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M2117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F7574",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00736592",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203368001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.