MR. KENNETH MONDRE SMITH PHYSICIAN ASSISTANT
NPI 1669787032
Physician Assistant - Medical in Houston, TX
About Mr. Kenneth Mondre Smith Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH MONDRE SMITH PHYSICIAN ASSISTANT (NPI 1669787032) is an individual medical provider in Houston, Texas, licensed in Texas (PA06722) and active in the NPI registry since August 2010. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Kenneth Mondre Smith Physician Assistant has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kenneth Smith's NPI number?
The NPI number for Kenneth Smith is 1669787032. It was assigned to this individual provider in the NPPES registry on August 10, 2010.
Where is Kenneth Smith located?
Kenneth Smith practices at 9652 Katy Fwy, Houston, TX 77055. The listed phone number is (346) 719-6880.
What is Kenneth Smith's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kenneth Smith enrolled in Medicare?
No. Kenneth Smith has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Kenneth Smith accept?
Health plans from Blue Cross and Blue Shield of Texas list Kenneth 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 Kenneth Smith was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
