Individual provider Active NPI

Shaun Smart, M.D.

  • Clinical Neurophysiology Physician
  • Houston, TX
National Provider Identifier
1942497870
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
R1657 Issued in TX
Practice address
6410 Fannin St Ste 1014
Houston, TX 77030-5301
Phone
(832) 325-7080
Fax
(713) 512-2239
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X R1657 TX
Clinical Neurophysiology Physician 2084N0600X R1657 TX Primary

Addresses

Primary practice location

6410 Fannin St Ste 1014
Houston, TX 77030-5301

Mailing address

6431 Fannin Street
MSB 7.005B
Houston, TX 77030
Phone (713) 500-7570

Other identifiers 1

IdentifierTypeStateIssuer
8GN641OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120727000618 FL Practitioner - Neurology 4880850379 Reassigns benefits to 1 organization
I20170426000273 TX Practitioner - Neurology 4880850379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 2961732193, 206 clinicians
Dallas Pulmonary and Critical Care PAGroup PAC ID 2163679200, 186 clinicians

Practice addresses (Care Compare)

16100 S Fwy
Pearland, TX 77584-1895
Phone (713) 413-5000

221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC CurrentSince Aug 4, 2014 Accepting new patients
Ut Physicians Neurology CurrentSince Mar 14, 2017 Accepting new patients
Ut Physicians CurrentSince Mar 14, 2017 Accepting new patients
Dallas Pulmonary & Critical Care PA CurrentSince Mar 11, 2024 Accepting new patients
Ut Physicians CurrentSince Sep 1, 2020 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Aug 4, 2014 Accepting new patients
Nuwave Monitoring, LLC Neurology CurrentSince Oct 9, 2015 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

2024 Hickory Rd
Ste 301
Homewood, IL 60430
Phone (708) 799-6900

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

6410 Fannin St
Ste 1014
Houston, TX 77030
Phone (713) 500-7100

6431 Fannin St
#7005B
Houston, TX 77030

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

1111 Highway 6
Ste 275
Sugar Land, TX 77478
Phone (281) 491-3335

Organizations & group practices 9

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1942497870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN STREET",
            "address_2": "MSB 7.005B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-500-7570",
            "fax_number": "713-500-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 1014",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305301",
            "telephone_number": "832-325-7080",
            "fax_number": "713-512-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "SHAUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "R1657",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "R1657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8GN641",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.