JACOB CARL SMITH M.D. NPI 1104274174

NPI Information

  • NPI: 1104274174
  • Provider Name: JACOB CARL SMITH, M.D.
  • Classification: Urology - 2088P0231X
  • Specialization: Pediatric Urology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6621 FANNIN ST
    HOUSTON, TX
    ZIP 77030
  • Phone: (832) 824-1000

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NPI Details

Jacob Carl Smith, M.D. is a pediatric urology urology in Houston, TX with 10 years of experience. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). Jacob Carl Smith, M.D. NPI is 1104274174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

6621 FANNIN ST
HOUSTON, TX
ZIP 77030-399
Phone: (832) 824-1000

The NPI 1104274174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2016 and was last updated on 6/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyBP10057661TEXASNo
22088P0231XUrologyPediatric UrologyU4634TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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