DR. KELLY J SMITH (MD) – Pediatric Pulmonology Physician, NPI 1528198405
Pediatric Pulmonology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,256 PEDIATRIC MEDICINE in TX
Provider Addresses for DR. KELLY J SMITH (MD)
333 N SANTA ROSA
SAN ANTONIO, TX 782073108
Phone: (210) 047-3030
Type: Mailing
4114 POND HILL ROAD
SUITE 101
SAN ANTONIO, TX 78231
Phone: (210) 249-5020
Fax: (210) 572-1540
Type: Mailing
4114 Pond Hill Road
Suite 101
San Antonio, TX 78231
Phone: (210) 249-5020
Fax: (210) 572-1540
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 150 Open Payments records for all available years, with a total value of $30,255.
Total Amount is formed as General ($30,255) + Research ($0) + Ownership ($0) = $30,255.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($15,049).
Total Amount
$30,255
General + Research + Ownership
Payments
150
Total payment records
General Amount
$30,255
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $15,049 |
| HARMONY BIOSCIENCES LLC | $7,760 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $5,400 |
| AstraZeneca Pharmaceuticals LP | $208 |
| Electromed, Inc. | $181 |
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: 2008-03-10
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 |
|---|---|---|---|---|
| I20080310000203 | I | Pediatric Medicine | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Pulmonary Disease | TX | |
| N E U R O L O G Y | TX | |
| - | TX |
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