Individual provider Active NPI

Bruce William Smit, D.P.M.

  • Foot Surgery Podiatrist
  • Frankfort, IL
National Provider Identifier
1205831948
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
16-2719 Issued in IL
Practice address
9875 W Lincoln Hwy
Frankfort, IL 60423-1930
Phone
(815) 469-3211
Fax
(815) 469-3808
NPI assigned
Jun 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 16-2719 IL Primary

Addresses

Primary practice location

9875 W Lincoln Hwy
Frankfort, IL 60423-1930

Mailing address

9875 W Lincoln Hwy
Frankfort, IL 60423-1930
Phone (815) 469-3211

Other identifiers 1

IdentifierTypeStateIssuer
60100822OtherILBC BS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080519000667 IL Practitioner - Podiatry 7911076849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9875 W Lincoln Hwy
Suite 101
Frankfort, IL 60423-1931
Phone (815) 469-3211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of skin lesions1-10
Removal of nail tissue43
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16-2719ILMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce W. Smit DPM LTD CurrentSince Jan 1, 1994 Accepting new patients

Locations

9875 W Lincoln Hwy
Ste 101
Frankfort, IL 60423
Phone (810) 282-8030

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

Interoperability endpoints

  • Direct secure messaging: bsmit283761@direct.myadvocateaurora.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1205831948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9875 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231930",
            "telephone_number": "815-469-3211",
            "fax_number": "815-469-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9875 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231930",
            "telephone_number": "815-469-3211",
            "fax_number": "815-469-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIT",
        "first_name": "BRUCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-18",
        "last_updated": "2022-05-19",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "16-2719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC  BS",
            "identifier": "60100822",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.