Organization Active NPI

Smartcardia Inc.

  • Physiological Laboratory
  • Des Plaines, IL
National Provider Identifier
1053491084
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
SMARTCARDIA INC.
Practice address
2800 S River Rd Ste 420
Des Plaines, IL 60018-6087
Phone
(800) 522-0078
Fax
(847) 869-0850
NPI assigned
Oct 16, 2006
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Adam Kirchgessner
Title
VP
Phone
(916) 599-9839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

2800 S River Rd Ste 420
Des Plaines, IL 60018-6087

Mailing address

2800 S River Rd Ste 420
Des Plaines, IL 60018-6087
Phone (800) 522-0078

Other identifiers 3

IdentifierTypeStateIssuer
4461000OtherILAETNA
036051641MedicaidIL
1632474OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511000599 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9638168958 Practice locations: Des Plaines, IL

National Provider Directory

National Provider Directory

Locations

2800 S River Rd
Ste 420
Des Plaines, IL 60018
Phone (800) 522-0078

1801 Maple Ave
Evanston, IL 60201
Phone (847) 869-0230

1840 Oak Ave
Evanston, IL 60201
Phone (314) 606-7224

1840 Oak Ave
Ste 218
Evanston, IL 60201
Phone (800) 522-0078

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1053491084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S RIVER RD STE 420",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600186087",
            "telephone_number": "800-522-0078",
            "fax_number": "847-869-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S RIVER RD STE 420",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600186087",
            "telephone_number": "800-522-0078",
            "fax_number": "847-869-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTCARDIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "KIRCHGESSNER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "916-599-9839"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4461000",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051641",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1632474",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.