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DR. WYATT ALEXANDER RIVAS SMITH MD, MPH
NPI 1356048193
General Practice in Jbsa-fort Sam Houston, TX

Active since February 13, 2023PECOS Enrolled
SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZSO ORTHOPAED, 3551 ROGER BROOKE DR, JBSA-FORT SAM HOUSTON, TX 78234(210) 916-1284 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2025, Aug 14, 2023, Feb 13, 2023 (3 updates tracked since 2023).

About Dr. Wyatt Alexander Rivas Smith Md, Mph NPPES

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

DR. WYATT ALEXANDER RIVAS SMITH MD, MPH (NPI 1356048193) is an individual general practice provider in Jbsa-fort Sam Houston, Texas, licensed in Virginia (0101284849) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356048193
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. WYATT ALEXANDER RIVAS SMITHCredential: MD, MPH
Location AddressSAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZSO ORTHOPAED, 3551 ROGER BROOKE DRJbsa-fort Sam Houston, TX 78234-4504
Mailing AddressBrooke Army Medical Center, Mche-zso Dept Orthopaedics, 3551 Roger Brooke DrJbsa-fort Sam Houston, TX 78234 · (210) 916-1284
Phone(210) 916-1284
Sole ProprietorNo
Enumeration DateFebruary 13, 2023
Last NPPES UpdateFebruary 15, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2025
✔ NPI 1356048193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101284849
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZSO ORTHOPAED, Jbsa-fort Sam Houston, TX 78234
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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)

Dr. Wyatt Alexander Rivas Smith Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Wyatt Smith's NPI number?

The NPI number for Wyatt Smith is 1356048193. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Wyatt Smith located?

Wyatt Smith practices at San Antonio Military Medical Center, Mche-Zso Orthopaed 3551 Roger Brooke Dr, Jbsa-Fort Sam Houston, TX 78234. The listed phone number is (210) 916-1284.

What is Wyatt Smith's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Wyatt Smith enrolled in Medicare?

Yes. Wyatt Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wyatt Smith was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.