Individual provider Active NPI

Erin M Smielewski, DPM

  • Podiatrist
  • Buffalo Grove, IL
National Provider Identifier
1609190693
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005398 Issued in IL
Practice address
1257 W Dundee Rd
Buffalo Grove, IL 60089-4009
Phone
(847) 577-1649
Fax
(847) 577-1677
NPI assigned
Mar 18, 2010
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005398 IL Primary

Addresses

Primary practice location

1257 W Dundee Rd
Buffalo Grove, IL 60089-4009

Mailing address

1257 W Dundee Rd
Buffalo Grove, IL 60089-4009
Phone (847) 577-1649

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101223000269 IL Practitioner - Podiatry 7113115791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smielewski Podiatry Inc.Group PAC ID 8628515608, 3 clinicians

Practice addresses (Care Compare)

1257 W Dundee Rd
Buffalo Grove, IL 60089-4009
Phone (847) 577-1949

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue69
Removal of skin lesions1-10
Removal of nail tissue865
Removal or shaving of skin growth439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Bever DPM LLC Podiatrist CurrentSince Apr 23, 2023 Accepting new patients
Smielewski Podiatry Inc. Podiatrist CurrentSince Dec 22, 2021 Accepting new patients
Foot First Podiatry II Current Accepting new patients
Quality Podiatry Group, LTD Podiatrist Past Accepting new patients

Locations

1257 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 577-1649

351 Greenleaf St
Ste C
Park City, IL 60085
Phone (847) 263-6073

Interoperability endpoints

  • Direct secure messaging: erin.smielewski.1@30154.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1609190693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894009",
            "telephone_number": "847-577-1649",
            "fax_number": "847-577-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894009",
            "telephone_number": "847-577-1649",
            "fax_number": "847-577-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIELEWSKI",
        "first_name": "ERIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.