Individual provider Active NPI

Tracy L Cannon-Smith, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Arlington, TX
National Provider Identifier
1942297569
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
M1559 Issued in TX
Practice address
5005 S Cooper St Ste 250
Arlington, TX 76017
Phone
(866) 367-8768
Fax
(817) 541-9540
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X M1559 TX
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X M1559 TX Primary

Addresses

Primary practice location

5005 S Cooper St Ste 250
Arlington, TX 76017

Mailing address

5001 S Cooper St Ste 201
Arlington, TX 76017-5993
Phone (866) 367-8768

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
I20050910000162 TX Practitioner - Urology 8527950005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Michigan Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Partners of North Texas, PLLCGroup PAC ID 7315283454, 91 clinicians

Practice addresses (Care Compare)

1901 N Macarthur Blvd
Baylor Medical Center at Irving
Irving, TX 75061-2220
Phone (972) 579-8100

Hospital & facility affiliations

  • Usmd Hospital at Arlington L P Hospital, Arlington, TX, CCN 450872
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
91.85
Promoting interoperability
77
Improvement activities
40
Cost
74.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Partners of North Texas, PLLC Urology CurrentSince Apr 6, 2019 Accepting new patients
Urology Associates of North Texas LLP Urology Past Accepting new patients
JPS Physician Group Inc Past Accepting new patients
Rocky Mountain Lithotripter LLC Urology PastSince Nov 1, 2001 Accepting new patients
Urology Partners of North Texas, PLLC Urology PastSince Dec 16, 2020 Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

5001 S Cooper St
Ste 201
Arlington, TX 76017

5005 S Cooper St
Ste 250
Arlington, TX 76017

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

945 Hilltop Dr
Ste 100
Weatherford, TX 76086
Phone (817) 550-6332

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/18f5d65c-83f0-435a-868c-70ce5a6de90a/
  • Direct secure messaging: tcannonsmith@direct.uspi.com

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 2

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1942297569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 S COOPER ST STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175993",
            "telephone_number": "866-367-8768",
            "fax_number": "817-541-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 S COOPER ST STE 250",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76017",
            "telephone_number": "866-367-8768",
            "fax_number": "817-541-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON-SMITH",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "M1559",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TX",
            "license": "M1559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.