Dennis W Smith, D.P.M.
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Crown Point, IN
NPI 1477546265 · NPPES record last updated Mar 10, 2020
Key facts
- NPI
- 1477546265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 07000765 (IN)
- Practice address
- 1275 E North St
Crown Point, IN 46307-3538 - Phone
- (219) 663-9446
- Fax
- (219) 663-9450
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northshore Health Centers Inc
Practice addresses (Care Compare)
1828 165TH St
Suite a
Hammond, IN 46320-2823
Phone (219) 763-8112
2490 Central Ave
Lake Station, IN 46405-2122
Phone (219) 763-8112
310 W 112TH Ave
Crown Point, IN 46307-7844
Phone (219) 763-8112
504 Legacy PLZ W
La Porte, IN 46350-5254
Phone (219) 763-8112
508 Legacy PLZ W
La Porte, IN 46350-5254
Phone (219) 763-8112
6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone 21976381123233
6091 Broadway
Merrillville, IN 46410-2619
Phone (219) 763-8112
801 Broadway
Chesterton, IN 46304-2230
Phone (219) 763-8112
Hospital & facility affiliations
- Franciscan Health Crown Point
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 40 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101028000050 | IN | Practitioner - Podiatry | 0749309276 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000765 | IN | MD | Sports Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc. | Current |
Accepting new patients | |
| The Methodist Hospitals, Inc | Current |
Accepting new patients | |
| Northshore Health Centers, Inc | Current |
Accepting new patients | |
| Northshore Health Centers, Inc. | Current |
Accepting new patients | |
| Northshore Health Centers Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Past | Accepting new patients | |
| Franciscan Health Crown Point | Past | Accepting new patients |
Locations
27350 Network Pl
Chicago, IL 60673
801 Broadway
Chesterton, IN 46304
Phone (219) 764-5311
1275 E North St
Crown Point, IN 46307
Phone (219) 663-2793
310 W 112th Ave
Crown Point, IN 46307
Phone (219) 763-8113
502 E Culver Rd
Knox, IN 46534
Phone (219) 772-3780
508 Legacy Plz W
Laporte, IN 46350
Phone (219) 575-6244
6091 Broadway
Merrillville, IN 46410
Phone (219) 763-8113
244 E 90th Dr
Merrillville, IN 46410
Phone (219) 323-3311
200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926
200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
Interoperability endpoints
- dennis.smith.p1@direct.northshorehealth.nextgenshare.com
- dsmith7308@themethodisthospitals.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 07000765 | IN | |
| Sports Medicine Podiatrist | 213ES0000X | 07000765 | IN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07000765 | IN | Yes |
Addresses
Primary practice location
1275 E North St
Crown Point, IN 46307-3538
Mailing address
1275 E North St
Crown Point, IN 46307-3538
Phone (219) 663-9446
Other practice location 1
502 E Culver Rd
Knox, IN 46534-2003
Phone (574) 772-3780
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100147400 | Medicaid | IN |
Other providers in Crown Point, IN
- Amanda Slonaker
- James Sluis
- Samantha Rae Smedley
- Dana-Rachael Smith
- David M. Smith
- Elizabeth Ellen Smith
- Joi Smith
- Meghan Anne Smith
- Shannon Smith
- Sierra Smith
All providers in Crown Point, IN · Foot & Ankle Surgery Podiatrist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.