DR. DANIEL DOUGLAS SMITH (M.D.) – Emergency Medicine Physician, NPI 1255320834
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,050 EMERGENCY MEDICINE in TX
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Provider Addresses for DR. DANIEL DOUGLAS SMITH (M.D.)
200, North Shadeland Avenue, Indianapolis, Marion, Indiana, 46219, United States
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
La Strada', Dallas, TX, Dallas, Dallas County, Texas, United States
EMERGENCY ROOM
SAN ANTONIO, TX 782051201
Phone: (210) 614-0180
Fax: (210) 615-7170
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
1701 N SENATE BLVD
INDIANAPOLIS, IN 462021239
Phone: (317) 962-3886
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: ViiV Healthcare Company ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-07-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200727003216 | I | Emergency Medicine | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 19 | 19 | $0 |
Insurance plans in this area (ZIP 46219)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Geriatric Medicine, Internal Medicine | NJ | |
| Nurse Practitioner | TX | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| Cardiovascular Disease (Cardiology) | IN | |
| - | IN | |
| - | IN |
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