DR. KELLY J SMITH MD NPI 1528198405

NPI Information

  • NPI: 1528198405
  • Provider Name: DR. KELLY J SMITH, MD
  • Classification: Pediatrics - 2080P0214X
  • Specialization: Pediatric Pulmonology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 333 N SANTA ROSA
    SAN ANTONIO, TX
    ZIP 78207
  • Phone: (210) 704-3030

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NPI Details

DR. Kelly J Smith, MD is a pediatric pulmonology pediatrics in San Antonio, TX with 26 years of experience. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. DR. Kelly J Smith, MD NPI is 1528198405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

333 N SANTA ROSA
SAN ANTONIO, TX
ZIP 78207-108
Phone: (210) 704-3030

The NPI 1528198405 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 3/7/2007 and was last updated on 2/16/2024.

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
12080S0012XPediatricsSleep MedicineM3394TEXASNo
22080P0214XPediatricsPediatric PulmonologyM3394TEXASYes
3207RS0012XInternal MedicineSleep MedicineM3394TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
119177340-02MEDICAIDTEXAS

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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