NPIMap

Individual provider Active NPI

David A. Smiley, M.D.

  • Internal Medicine Physician
  • Highland Park, IL
National Provider Identifier
1316974538
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036114109 Issued in IL
Practice address
480 Elm PL
Suite 203
Highland Park, IL 60035-2538
Phone
(847) 433-0404
Fax
(847) 433-1389
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036114109 IL Primary

Addresses

Primary practice location

480 Elm PL
Suite 203
Highland Park, IL 60035-2538

Mailing address

480 Elm PL
Suite 203
Highland Park, IL 60035-2538
Phone (847) 433-0404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060428000092 IL Practitioner - Internal Medicine 6103836622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mark a Greenberger MD SCGroup PAC ID 2062444607, 2 clinicians

Practice addresses (Care Compare)

480 Elm PL
Suite 203
Highland Park, IL 60035-2500
Phone (847) 433-0404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036114109ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a. Greenberger, M.D., S.C. Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients

Locations

480 Elm Pl
Ste 203
Highland Park, IL 60035
Phone (847) 405-9282

900 N Westmoreland Rd
Ste 104
Lake Forest, IL 60045
Phone (847) 234-5094

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.

Hospital & facility affiliations 9

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316974538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 ELM PL",
            "address_2": "SUITE 203",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352538",
            "telephone_number": "847-433-0404",
            "fax_number": "847-433-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ELM PL",
            "address_2": "SUITE 203",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352538",
            "telephone_number": "847-433-0404",
            "fax_number": "847-433-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036114109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.