Organization Active NPI

Smriti Goel M.D. S.C.

  • Internal Medicine Physician
  • Deerfield, IL
National Provider Identifier
1316039902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SMRITI GOEL M.D. S.C.
Practice address
707 Lake Cook Rd
Suite 260
Deerfield, IL 60015-5613
Phone
(224) 430-2255
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Smriti Goel, M.D.NPI 1972559516
Title
President
Phone
(224) 430-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

707 Lake Cook Rd
Suite 260
Deerfield, IL 60015-5613

Mailing address

57 Estate Dr
Deerfield, IL 60015-4861
Phone (224) 430-2255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061102000327 IL Part B Supplier - Clinic/Group Practice 5496752560 Receives reassigned benefits from 1 practitioner
Practice locations: Deerfield, IL; Glenview, IL; Park Ridge, IL; Skokie, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1061305Smriti Goel M D S C707 Lake Cook Road, Suite 260, Deerfield, IL 60015Certificate of waiverNov 14, 2026

National Provider Directory

National Provider Directory

Locations

707 Lake Cook Rd
Ste 206
Deerfield, IL 60015

707 Lake Cook Rd
Ste 2
Deerfield, IL 60015
Phone (847) 564-0055

707 Lake Cook Rd
Ste 260
Deerfield, IL 60015
Phone (224) 430-2255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316039902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 ESTATE DR",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154861",
            "telephone_number": "224-430-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK RD",
            "address_2": "SUITE 260",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155613",
            "telephone_number": "224-430-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMRITI GOEL M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "SMRITI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-430-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.