Active NPI
Richard Lee Smith, PA-C
- Physician Assistant
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03242
- Practice address
- 4444 Heritage Trace Pkwy Ste 408
Fort Worth, TX 76244-8944 - Phone
- (817) 283-5252
- Fax
- (817) 283-5283
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | PA03242 | TX | |
| Physician Assistant | 363A00000X | PA03242 | TX | Primary |
Addresses
Primary practice location
4444 Heritage Trace Pkwy Ste 408
Fort Worth, TX 76244-8944
Mailing address
4444 Heritag Trce Pkwy Ste 408
Fort Worth, TX 76244-8944
Phone (817) 283-5252
Other practice location 1
809 W Harwood Rd
Suite 101
Hurst, TX 76054-3289
Phone (817) 283-5252
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
167 Regency Pkwy
Suite 103
Mansfield, TX 76063-5093
Phone (682) 341-7110
Hospital & facility affiliations
- Texas Health Huguley Hospital Fort Worth South
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.21 of 100
- Quality
- 83.88
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 57.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03242 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Orthopaedic and Spine Specialists, PLLC | Current | Accepting new patients | |
| Lone Star Orthopaedic and Spine Specialists, PLLC | Current | Accepting new patients | |
| Tyler Neurosurgical Associates, P.a. | Past | Accepting new patients | |
| Fort Worth Brain & Spine Institute, LLP | Past | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Past | Accepting new patients |
Locations
215 Old Highway 1187
Burleson, TX 76028
Phone 8179262663118
167 Regency Pkwy
Ste 103
Mansfield, TX 76063
Phone (682) 341-7110
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EABGAA
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.
-
- Orthopaedic Surgery Physician
- Burleson, TX
- NPI 1134398217
-
- Orthopaedic Surgery Physician
- Mansfield, TX
- NPI 1821841966
-
- Neurological Surgery Physician
- Fort Worth, TX
- NPI 1770503237
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
-
- Neurological Surgery Physician
- Tyler, TX
- NPI 1164419727
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1518355759
-
- General Acute Care Hospital
- Burleson, TX
- NPI 1033120423
-
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1548273881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1912088147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 HERITAG TRCE PKWY STE 408",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762448944",
"telephone_number": "817-283-5252",
"fax_number": "817-283-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 HERITAGE TRACE PKWY STE 408",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762448944",
"telephone_number": "817-283-5252",
"fax_number": "817-283-5283"
}
],
"practiceLocations": [
{
"address_1": "809 W Harwood Rd",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Hurst",
"state": "TX",
"postal_code": "760543289",
"country_code": "US",
"telephone_number": "817-283-5252",
"fax_number": "817-283-5283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "RICHARD",
"middle_name": "LEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA03242",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.
- 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.