Individual provider Active NPI

Steven Smith, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1114360013
Registry record updated Dec 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036139154 Issued in IL
Practice address
1514 E 87TH St
Chicago, IL 60619-6525
Phone
(773) 978-0757
Fax
(773) 978-0705
NPI assigned
Apr 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 036139154 IL Primary

Addresses

Primary practice location

1514 E 87TH St
Chicago, IL 60619-6525

Mailing address

1514 E 87TH St
Chicago, IL 60619-6525
Phone (773) 978-0757

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address smith@direct.practicefusion.com Health Information Exchange (HIE) RUDYARD SMITH MD AND ASSOCIATES SC
Direct Messaging Address ssmith279326@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160406001618 IL Practitioner - Family Practice 3779885975 Reassigns benefits to 1 organization
I20230130001650 IN Practitioner - Family Practice 3779885975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rudyard Smith MD and Associates SCGroup PAC ID 2567360803, 4 clinicians
American Medical Associates LLCGroup PAC ID 8224006721, 3 clinicians

Practice addresses (Care Compare)

3510 W 79TH St
Chicago, IL 60652-1430
Phone (773) 978-0757

9250 Columbia Ave
Suite 1F
Munster, IN 46321-3530
Phone (219) 937-9653

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rudyard Smith MD and Associates SC CurrentSince Mar 21, 2016 Accepting new patients
American Medical Associates LLC CurrentSince Oct 1, 2022 Accepting new patients
Mr.Oak Current Accepting new patients

Locations

1514 E 87th St
Chicago, IL 60619
Phone (773) 978-0757

7906 S Crandon Ave
Chicago, IL 60617
Phone (312) 842-7580

3510 W 79th St
Chicago, IL 60652
Phone (773) 978-0703

9250 Columbia Ave
Ste 1F
Munster, IN 46321
Phone (219) 548-7503

Interoperability endpoints

  • Direct secure messaging: ssmith591910@direct.franciscanalliance.org
  • Direct secure messaging: smith@direct.practicefusion.com
  • Direct secure messaging: ssmith279326@direct.myadvocateaurora.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1114360013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196525",
            "telephone_number": "773-978-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196525",
            "telephone_number": "773-978-0757",
            "fax_number": "773-978-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036139154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smith@direct.practicefusion.com",
            "affiliation": "Y",
            "endpointDescription": "EMR messaging",
            "affiliationName": "RUDYARD SMITH MD AND ASSOCIATES SC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf, xml",
            "address_1": "1514 E 87th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606196525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssmith279326@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 Golf Rd Ste 2-1100",
            "city": "Rolling Meadows",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600084257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1701 Golf Rd Ste 2-1100",
            "city": "Rolling Meadows",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600084257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.