JORDAN MICHAEL SMITH (DO) – Emergency Medicine Physician, NPI 1144488685

JORDAN MICHAEL SMITH (DO) is a healthcare provider. based in Dallas, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. N4115 (TX). The NPI Number for JORDAN MICHAEL SMITH (DO) is 1144488685

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN MICHAEL SMITH (DO)
NPI
1144488685
Phone
(214) 590-4105
Address
PO BOX 660599
Enumeration Date
31 May 2008
Last Update Date
21 July 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8326993777
Graduation Year
2008 (18 years ago)
PAC ID
1456521053
Group Practice PAC ID
0547682460
Professional Enrollment ID
I20110908001840
Address ID
TX770836339HO8910XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

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Provider Addresses for JORDAN MICHAEL SMITH (DO)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752660599

    Phone: (214) 590-4105

    Type: Mailing

  • Zale Lipshy University Hospital, 5201, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States

    HOUSE STAFF & GME

    DALLAS, TX 752357708

    Phone: (214) 590-8058

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-09-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110908001840IEmergency MedicineTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making2421$0
99283Emergency department visit with low level of medical decision making1918$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1413$0
View full utilization report →

Insurance plans in this area (ZIP 75266)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547682460View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineMA
Emergency MedicineOK
Emergency MedicineCA
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency Medicine, Internal MedicineTX

Reviews

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Frequently asked questions

Is there an official ID for JORDAN MICHAEL SMITH (DO) in U.S. healthcare records?
The official identifier for JORDAN MICHAEL SMITH (DO) is NPI 1144488685.
Is JORDAN MICHAEL SMITH (DO) still an active registrant?
JORDAN MICHAEL SMITH (DO) carries an active NPI according to the public dataset.
What clinical focus is listed for JORDAN MICHAEL SMITH (DO)?
At a glance, JORDAN MICHAEL SMITH (DO) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JORDAN MICHAEL SMITH (DO)?
Directory geography for JORDAN MICHAEL SMITH (DO) centers on Dallas, Texas.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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