Kimberly Y Smith, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

036093281 Issued in IL

Practice address

600 S Paulina St
Suite 143
Chicago, IL 60612-3806

Phone

(312) 942-2061

Fax

(312) 942-2184

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Infectious Disease Specialists of Chicago

  • Infectious Disease Physician
  • Chicago, IL
  • NPI 1194786574
  NPD (past)
• Palos Anesthesia Associates, S.C

  • Anesthesiology Physician
  • Palos Heights, IL
  • NPI 1659345791
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1184685984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239D",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688018",
            "telephone_number": "847-759-1560",
            "fax_number": "847-803-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PAULINA ST",
            "address_2": "SUITE 143",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123806",
            "telephone_number": "312-942-2061",
            "fax_number": "312-942-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036093281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093281",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "440003647",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry E Smith, PH.D.
• Keshia L Smith
• Kevin Donald Smith, MD
• Kevin Robert Smith, D.C.
• Kimberly M Smith, PT
• Kristin Smith, MA, RD, LDN
• Kyle Smith
• Kyra Smith, LCSW
• La'Quanda Smith
• Lake Smith, LCPC

• Infectious Disease Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Infectious Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.