Carlos Frederick Smith, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004833 Issued in IL

Practice address

1301 E 47TH St BLDG 2
Chicago, IL 60653-4507

Phone

(773) 924-7765

Fax

(773) 924-8468

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Weil Foot and Ankle Institute LLCGroup PAC ID 4587655105, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048
• Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Weil Foot and Ankle Institute LLC

  • Foot & Ankle Surgery Podiatrist
  • Mount Prospect, IL
  • NPI 1710965314
  Medicare reassignment Care Compare group NPD
• Carlos F Smith DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1609063155
  Medicare reassignment Authorized official
• Weil Foot and Ankle Institute LLC

  • Clinical Medical Laboratory
  • Mount Prospect, IL
  • NPI 1154942837
  NPD
• Weil Foot and Ankle Institute LLC

  • Podiatrist
  • Chicago, IL
  • NPI 1992678312
  NPD
• Podiatric Management Systems LLC

  • Primary Podiatric Medicine Podiatrist
  • Lake Zurich, IL
  • NPI 1396968053

  Foot & Ankle Surgery

  NPD (past)
• Weil Foot & Ankle Institute

  • Foot Surgery Podiatrist
  • Des Plaines, IL
  • NPI 1821097262
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Hazel Crest, IL
  • NPI 1467560128
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Oak Lawn, IL
  • NPI 1548375082
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1558479212
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1033190079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W NORTH AVE",
            "address_2": "STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101174",
            "telephone_number": "312-642-3440",
            "fax_number": "312-642-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E 47TH ST BLDG 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534507",
            "telephone_number": "773-924-7765",
            "fax_number": "773-924-8468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10801 S Western Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606433297",
            "country_code": "US",
            "telephone_number": "773-924-7765",
            "fax_number": "773-924-8468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLOS",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004833",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Smith
• Bryan Anthony Smith
• Candice Smith, LCPC
• Capri Smith
• Carlie Marie Smith
• Carrie Smith
• Casey Patrick Smith, DO
• Cassandra Smith
• Cassandra Ann Smith, DO
• Charesa Jeana Smith, MD

• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.