Active NPI
Susan M Smith, AUD
- Audiologist
- Oakbrook Terrace, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.000234
- Practice address
- 1S450 Summit
Oakbrook Terrace, IL 60181 - Phone
- (630) 792-9300
- Fax
- (630) 792-0902
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147.000234 | IL | Primary |
| Audiologist | 231H00000X | 147-000234 | IL | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 147000234 | IL | |
| Audiologist-Hearing Aid Fitter | 237600000X | 147000234 | IL |
Addresses
Primary practice location
1S450 Summit
Oakbrook Terrace, IL 60181
Mailing address
172 Schiller
Elmhurst, IL 60126-2885
Phone (630) 993-5676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 S York Rd
Suite 1120
Elmhurst, IL 60126-5626
Phone (630) 527-3200
1200 S York St
Elmhurst, IL 60126-5626
Phone (331) 221-6636
2205 Butterfield Rd
Downers Grove, IL 60515-1157
Phone (630) 527-3645
2650 Ridge Ave
Evanston, IL 60201-1700
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147-000234 | IL | MD | Audiologist |
| 147.000234 | IL | MD | Audiologist |
| 147000234 | IL | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elmhurst Memorial Healthcare | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Elmhurst Memorial Healthcare | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Wyse Eyecare SC | Past | Accepting new patients | |
| Hearing Health Center, Inc. | Audiologist | Past | Accepting new patients |
| Advanced Hearing and Balance Center, LLC | Audiologist | Past | Accepting new patients |
| West Suburban Head and Neck Specialists,S.C. | Past | Accepting new patients | |
| Accelerated Rehabilitation Centers, LTD | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377
1200 S York St
Elmhurst, IL 60126
Phone (331) 221-5678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779
1S450 Summit Ave
Oakbrook Terrace, IL 60181
Phone (630) 320-6871
Interoperability endpoints
- ssmith41888@direct.edward.org
Organizations & group practices 9
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.
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-
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-
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- NPI 1669607214
-
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- NPI 1972583359
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1407929326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 SCHILLER",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262885",
"telephone_number": "630-993-5676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1S450 SUMMIT",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "60181",
"telephone_number": "630-792-9300",
"fax_number": "630-792-0902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.000234",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147-000234",
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "IL",
"license": "147000234",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IL",
"license": "147000234",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakbrook Terrace, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.