Active NPI
Paul Smith, DPM
- Foot & Ankle Surgery Podiatrist
- Western Springs, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016.005833
- Practice address
- 915 55TH St Ste 200
Western Springs, IL 60558-2267 - Phone
- (708) 352-5652
- Fax
- (708) 482-7465
- NPI assigned
- Aug 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016.005833 | IL | Primary |
Addresses
Primary practice location
915 55TH St Ste 200
Western Springs, IL 60558-2267
Mailing address
915 55TH St Ste 200
Western Springs, IL 60558-2267
Phone (708) 352-5652
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
915 55TH St
Suite 200
Western Springs, IL 60558-2267
Phone (708) 352-5652
Hospital & facility affiliations
- Uchicago Medicine Adventhealth la Grange
- Uchicago Medicine Adventhealth Hinsdale
- Adventist la Grange Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 70.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.22
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 316 |
| Removal of skin lesions | 25 |
| Removal of nail tissue | 470 |
| Removal or shaving of skin growth | 82 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.005833 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Partners, Inc | Single Specialty | Current | Accepting new patients |
| DRS. Bonet and Doyle PTRS | Single Specialty | Current | Accepting new patients |
| DRS. Bonet and Doyle PTRS | Single Specialty | Current | Accepting new patients |
| Orthotec Surgery Center, Inc | Past | Accepting new patients |
Locations
9050 W 81st St
Ste 500
Justice, IL 60458
Phone (312) 375-4788
5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073
1415 W 47th St
Lagrange Hlds, IL 60525
Phone (708) 352-5652
915 55th St
Ste 200
Western Springs, IL 60558
Phone (708) 352-5652
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFDBCD
- https://api.platform.athenahealth.com/14157/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Hinsdale, IL
- NPI 1912218850
Single Specialty
-
- Ambulatory Surgical Clinic/Center
- Elmhurst, IL
- NPI 1205234143
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
- General Acute Care Hospital
- La Grange, IL
- NPI 1407889652
-
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
- Rehabilitation Hospital Unit
- La Grange, IL
- NPI 1588068274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1396298642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 55TH ST STE 200",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605582267",
"telephone_number": "708-352-5652",
"fax_number": "708-482-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 55TH ST STE 200",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605582267",
"telephone_number": "708-352-5652",
"fax_number": "708-482-7465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PAUL",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-03",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016.005833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Western Springs, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.