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DR. KELLY J SMITH MD
NPI 1528198405
Pediatrics - Pediatric Pulmonology in San Antonio, TX

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
4114 POND HILL RD STE 101, SAN ANTONIO, TX 78231(210) 249-5020(210) 572-1540 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2026, Feb 20, 2017 (2 updates tracked since 2017).

About Dr. Kelly J Smith Md NPPES

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

DR. KELLY J SMITH MD (NPI 1528198405) is an individual pediatric pulmonology provider in San Antonio, Texas, licensed in Texas (M3394) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1528198405
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameDR. KELLY J SMITHCredential: MD
Location Address4114 POND HILL RD STE 101San Antonio, TX 78231-1273
Mailing AddressPo Box 781383San Antonio, TX 78278-1383 · (210) 249-5020 · Fax (210) 494-2209
Phone(210) 249-5020
Fax(210) 572-1540
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 7, 2007
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1528198405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in TX · M3394
Definition

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.

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License M3394 (TX)
Also ListedPediatrics · Sleep MedicineTaxonomy 2080S0012X · License M3394 (TX)
4114 POND HILL RD STE 101, San Antonio, TX 78231
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Secondary Practice Location 1

Location 1333 N Santa RosaSan Antonio, TX 78207-3108 · Phone (210) 704-3030

Other Identifiers 1

Medicaid19177340-02TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and more.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

Dr. Kelly J Smith Md 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 ID8820173289
PECOS Enrollment IDI20080310000203
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.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sterile water/saline, 500 ml A4217
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims288 services$2.78 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
2 suppliers21 claims1,740 services$2.55 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
2 suppliers20 claims40 services$3.54 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
2 suppliers14 claims425 services$4.49 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers25 claims82 services$7.45 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
2 suppliers11 claims82 services$3.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

CHELSEA ELYSE BUCHANAN CPNP-PC
Nurse Practitioner (Pediatrics)
4114 POND HILL RD STE 101
SAN ANTONIO, TX 78231
Bexar County (210) 249-5020

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 Kelly Smith's NPI number?

The NPI number for Kelly Smith is 1528198405. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Kelly Smith located?

Kelly Smith practices at 4114 Pond Hill Rd Ste 101, San Antonio, TX 78231. The listed phone number is (210) 249-5020.

What is Kelly Smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Kelly Smith enrolled in Medicare?

Yes. Kelly 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 Kelly Smith accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and Oscar Insurance Company list Kelly 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 Kelly Smith was last updated on May 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.