Kyla Nichelle Smith, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-128969 Issued in IL

Practice address

7110 W 127TH St Ste 130
Palos Heights, IL 60463-1579

Phone

(708) 923-6300

Fax

(708) 923-6303

NPI assigned

Mar 1, 2007

Last updated

May 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Kyla Nichelle Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rush-Copley Medical Group

  • Pediatrics Physician
  • Aurora, IL
  • NPI 1982974689
  NPD (past)
• Rush-Copley Medical Group, NFP

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1093075848

  Pediatrics

  NPD (past)
• Black River Healthcare, Inc.

  dba Black River Healthcare - Manning Medical

  • Family Medicine Physician
  • Manning, SC
  • NPI 1992077424
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1316075559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 W 127TH ST STE 130",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631579",
            "telephone_number": "708-923-6300",
            "fax_number": "708-923-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 W 127TH ST STE 130",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631579",
            "telephone_number": "708-923-6300",
            "fax_number": "708-923-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLA",
        "middle_name": "NICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-128969",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IL",
            "license": "036-128969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.128969",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "SMITH",
            "middle_name": "NICHELLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Slutzky, OTR/L
• James Kenneth Smedegard, M.D.
• Smiles in Style LLC
• Elizabeth Nicole Smith, PSYD
• Kristin Joy Smith
• Tamaar Smith
• Paul Sniezko
• Christen Snodgrass, M.S., CCC-SLP/L
• Jacob G Snyder, DPT
• Michael J Sobczak, M.D.

• Pediatrics Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.