SANDRA DANIELA SMITH
NPI 1124963640
Anesthesiologist Assistant in Houston, TX

Q: What is Sandra Smith's NPI number?

The NPI number for Sandra Smith is 1124963640. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Q: What is Sandra Smith's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Smith was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since April 21, 2026

6720 BERTNER AVE, HOUSTON, TX 77030(832) 355-2666 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Apr 21, 2026 (2 updates tracked since 2026).

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About Sandra Daniela Smith NPPES

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

SANDRA DANIELA SMITH (NPI 1124963640) is an individual anesthesiologist assistant in Houston, Texas, licensed in Texas (789791039) and active in the NPI registry since April 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1124963640

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameSANDRA DANIELA SMITH

Location Address6720 BERTNER AVEHouston, TX 77030-2604

Mailing Address1010 Rosine St Apt 39Houston, TX 77019-3872

Phone(832) 355-2666

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateApril 21, 2026

Last NPPES UpdateMay 29, 20262 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1124963640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Licenses✔ Licensed in TX · 789791039✔ Licensed in TX · 39965473

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

6720 BERTNER AVE, Houston, TX 77030

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Daniela Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365913472

PECOS Enrollment IDI20260609002159

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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. ARCHANA VARGHEESE RAGHAVAN M.D.

Anesthesiology