Organization Active NPI

Tomasz Szmyd DPM, PC

  • Podiatric Clinic/Center
  • Chicago, IL
National Provider Identifier
1437622966
Registry record updated Aug 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
TOMASZ SZMYD DPM, PC
Practice address
5501 W Belmont Ave
Chicago, IL 60641-4130
Phone
(773) 205-0106
Fax
(949) 404-6890
NPI assigned
Jan 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2023

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

Authorized official

Name
Tomasz Szmyd, DPMNPI 1255370284
Title
Owner
Phone
(773) 684-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

5501 W Belmont Ave
Chicago, IL 60641-4130

Mailing address

1500 E 67TH St
Chicago, IL 60637-4427
Phone (773) 684-8000

Other practice location 1

1500 E 67th St
Chicago, IL 60637-4427
Phone (773) 684-8000

Other practice location 2

6037 S Archer Ave
Chicago, IL 60638-2859
Phone (773) 205-0106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190213003111 IL Part B Supplier - Clinic/Group Practice 0244578441 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL
O20190626000738 IL DME Supplier - Physician - Podiatry 0244578441 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1500 E 67th St
#100
Chicago, IL 60637

5501 W Belmont Ave
Chicago, IL 60641
Phone (773) 205-0106

1500 E 67th St
Chicago, IL 60637
Phone (773) 684-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692489600000",
    "number": "1437622966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E 67TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606374427",
            "telephone_number": "773-684-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414130",
            "telephone_number": "773-205-0106",
            "fax_number": "949-404-6890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E 67th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606374427",
            "country_code": "US",
            "telephone_number": "773-684-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6037 S Archer Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606382859",
            "country_code": "US",
            "telephone_number": "773-205-0106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOMASZ SZMYD DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A",
        "authorized_official_last_name": "SZMYD",
        "authorized_official_first_name": "TOMASZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-684-8000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.