Individual provider Active NPI

Emily Daviau Smith, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Chicago, IL
National Provider Identifier
1386906089
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036.137268 Issued in IL
Practice address
125 S Wacker Dr Ste 300
Chicago, IL 60606-4421
Phone
(617) 505-1520
Fax
(617) 928-8401
NPI assigned
Jun 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036.137268 IL Primary

Addresses

Primary practice location

125 S Wacker Dr Ste 300
Chicago, IL 60606-4421

Mailing address

109 State St.
5TH FL
Boston, MA 02109-2906
Phone (617) 505-1520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Emily.Smith@168064768409604.direct.elationemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY, NV, NJ, WA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20180118001017 IL Practitioner - Endocrinology 6406151554 Reassigns benefits to 2 organizations
I20210303000141 NY Practitioner - Endocrinology 6406151554 Reassigns benefits to 1 organization
I20220919000597 NV Practitioner - Endocrinology 6406151554
I20220920001898 NJ Practitioner - Endocrinology 6406151554
I20230222001093 WA Practitioner - Endocrinology 6406151554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Loyola University of Chicago, Stritch School of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Form Health Associates Ma, P.C.Group PAC ID 3375953961, 42 clinicians

Practice addresses (Care Compare)

125 S Wacker Dr
Suite 300
Chicago, IL 60606-4421
Phone (617) 505-1520

600 3Rd Ave
FL 2
New York, NY 10016-1919
Phone (617) 505-1520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.137268ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Life Physicians Group Pacific Northwest, P.C. Endocrinology, Diabetes & Metabolism Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Form Health Associates Ma, P.C. Endocrinology, Diabetes & Metabolism CurrentSince Aug 17, 2020 Accepting new patients
The Board of Trustees of the University of Illinois Endocrinology, Diabetes & Metabolism CurrentSince Nov 29, 2017 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Nov 29, 2017 Accepting new patients

Locations

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

125 S Wacker Dr
Ste 300
Chicago, IL 60606
Phone (254) 760-0283

251 E Huron St
Chicago, IL 60611

845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295

840 S Wood St
Chicago, IL 60612
Phone (312) 996-6711

820 S Damen Ave
Chicago, IL 60612
Phone (312) 569-6885

179 Lincoln St
Ste 404
Boston, MA 02111
Phone (404) 273-4596

109 State St
Ste 5
Boston, MA 02109

600 3rd Ave
Fl 2
New York, NY 10016
Phone (212) 547-8861

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Interoperability endpoints

  • Direct secure messaging: emily.smith@168064768409604.direct.elationemr.com
  • Direct secure messaging: esmith17486@uihealth.direct-ci.com

Organizations & group practices 6

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": "1339200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1386906089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STATE ST.",
            "address_2": "5TH FL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092906",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S WACKER DR STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064421",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "middle_name": "DAVIAU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-09",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036.137268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emily.Smith@168064768409604.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "125 S Wacker Dr Ste 300",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606064421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.