Samuel Smith, M.D.
Samuel Smith, M.D. is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Memphis, TN, registered under NPI 1073967949. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, Memphis, TN 38163. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 63193 | TN | Plastic Surgery within the Head & Neck… primary |
| 63193 | TN | Otolaryngology Physician |
This provider holds licence 63193 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Otolaryngology
- PAC ID
- 2062701188
- Enrollment ID
- I20231115000260
Medicare enrolment is recorded as approved under the provider type Practitioner - Otolaryngology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Plastic Surgery within the Head & Neck covers
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. NUCC Health Care Provider Taxonomy, code 207YX0007X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician Plastic Surgery within the Head & Neck | 63193 | TN | primary |
| 207Y00000X | Otolaryngology Physician | 63193 | TN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1073967949 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 18, 2016 |
| Last updated | Mar 3, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | M.D. |
| Practice address |
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447 Memphis, TN 38163 (901) 448-5885 |
| Mailing address |
1068 CRESTHAVEN RD STE 300 Memphis, TN 38119 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 7 | 3 | 9 | 6 | 7 | 9 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 5 | 3 | 9 | 6 | 5 | 9 | 8 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.