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JACOB CARL SMITH M.D.
NPI 1104274174
Urology - Pediatric Urology in Houston, TX

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
6621 FANNIN ST, HOUSTON, TX 77030(832) 824-1000 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Carl Smith M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB CARL SMITH M.D. (NPI 1104274174) is an individual pediatric urology provider in Houston, Texas, licensed in Texas (U4634) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2016).

NPPES Registry Identity

NPI1104274174
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameJACOB CARL SMITHCredential: M.D.
Location Address6621 FANNIN STHouston, TX 77030-2399
Mailing Address200 K St Ne Apt 1041Washington, DC 20002-3091
Phone(832) 824-1000
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2016
Enumeration DateMay 31, 2016
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1104274174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in TX · U4634
Definition
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).
Also ListedUrologyTaxonomy 208800000X · License BP10057661 (TX)
6621 FANNIN ST, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Carl Smith M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466733829
PECOS Enrollment IDI20230615003552
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAKETO BABA M.D.
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 824-1000
ZACHARY FOUGHTY
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 824-1173
ASHIRA MORGAN KLEIN MD
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 824-1000
CINDY ANN MILLER PT
Physical Therapist
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 826-1000
JENNA AUSTIN DAVIS PA-C
Physician Assistant
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (804) 955-7043
RONALD EASLEY M.D.
Anesthesiology
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 824-1000
DENNIS BIER MD
Pediatrics (Pediatric Endocrinology)
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 798-7022
DR. DONALD WILLIAMS PARSONS M.D., PH.D.
Pediatrics (Pediatric Hematology-Oncology)
6621 FANNIN ST, MC 3-3320
HOUSTON, TX 77030
Harris County (832) 822-4556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Smith's NPI number?

The NPI number for Jacob Smith is 1104274174. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Jacob Smith located?

Jacob Smith practices at 6621 Fannin St, Houston, TX 77030. The listed phone number is (832) 824-1000.

What is Jacob Smith's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Jacob Smith enrolled in Medicare?

Yes. Jacob Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Smith accept?

Health plans from Baylor Scott and White Health Plan, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Jacob Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Smith was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.