Michael J Smith, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005077 Issued in IL

Practice address

4143 Sauk TRL
Richton Park, IL 60471-1253

Phone

(708) 748-3337

Fax

(708) 747-3338

NPI assigned

Oct 16, 2006

Last updated

Aug 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Podiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthdrive Podiatry Group PAGroup PAC ID 1759334782, 24 clinicians

Agape Foot Care PAGroup PAC ID 0345660064, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Agape Foot Care PA

  • Foot & Ankle Surgery Podiatrist
  • Garland, TX
  • NPI 1487268587
  Medicare reassignment Care Compare group NPD
• Healthdrive Podiatry Group, PA

  dba HealthDrive Podiatry Group

  • Podiatrist
  • Fort Worth, TX
  • NPI 1518112499
  Medicare reassignment Care Compare group
• Mercado Foot and Ankle Clinics

  • Podiatrist
  • Richton Park, IL
  • NPI 1265430730
  Authorized official Same address or phone
• L D Hayes DPM & Associates PA

  • Foot & Ankle Surgery Podiatrist
  • Plano, TX
  • NPI 1134304538
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1659451870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 SAUK TRL",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711253",
            "telephone_number": "708-748-3337",
            "fax_number": "708-747-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 SAUK TRL",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711253",
            "telephone_number": "708-748-3337",
            "fax_number": "708-747-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seven Lights Psychiatry, PLLC
• Alexis Shaw
• Monica Shelton
• Monique Simmons, LCSW
• Niya Smith-Wilson
• Monica Yvette Smith, APN
• Robert B Smith, D.D.S.
• Snyder Eye Care, P.C.
• Kyle Daniel Snyder, O.D.
• Sought After Care Centers NFP

• Foot & Ankle Surgery Podiatrist in Richton Park, IL
• Providers in Richton Park, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.