Individual provider Active NPI

Pamela K. Smekrud, CCC

  • Audiologist
  • Barrington, IL
National Provider Identifier
1649292988
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147-000564 Issued in IL
Practice address
27790 W Highway 22 Ste 27
Barrington, IL 60010-2396
Phone
(847) 649-6000
NPI assigned
Jul 24, 2006
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147-000564 IL Primary

Addresses

Primary practice location

27790 W Highway 22 Ste 27
Barrington, IL 60010-2396

Mailing address

27790 W Highway 22 Ste 27
Barrington, IL 60010-2396
Phone (847) 649-6000

Other names 1

  • Pamela Kay Pruss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060920000412 IL Practitioner - Qualified Audiologist 7719982057 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest ENT Alliance PLLCGroup PAC ID 5294276259, 97 clinicians

Practice addresses (Care Compare)

27790 W Hwy 22
Suite 27
Barrington, IL 60010-2396
Phone (847) 649-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147-000564ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest ENT Alliance PLLC CurrentSince Nov 1, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 1, 2006 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 1, 2006 Accepting new patients
Ear, Nose & Throat Care Center, LTD. Audiologist CurrentSince Sep 1, 2019 Accepting new patients
Mercy Heatlh System Corporation Past Accepting new patients
Bastian Voice Institute, LLC PastSince Sep 22, 2003 Accepting new patients

Locations

27790 W Highway 22
Barrington, IL 60010
Phone (847) 382-5080

27790 W Highway 22
Ste 27
Barrington, IL 60010
Phone (847) 649-6000

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

390 E Congress Pkwy
Ste M
Crystal Lake, IL 60014
Phone (779) 284-0347

3010 Highland Pkwy
Ste 550
Downers Grove, IL 60515
Phone (630) 724-1100

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1649292988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27790 W HIGHWAY 22 STE 27",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102396",
            "telephone_number": "847-649-6000",
            "fax_number": "847-649-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27790 W HIGHWAY 22 STE 27",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102396",
            "telephone_number": "847-649-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEKRUD",
        "first_name": "PAMELA",
        "middle_name": "K.",
        "credential": "CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "PRUSS",
            "middle_name": "KAY",
            "credential": "CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.

Verify at the official NPI Registry.