Individual provider Active NPI

Alan Martin Smookler, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Glenview, IL
National Provider Identifier
1669469276
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
036-070513 Issued in IL
Practice address
2180 Pfingsten Rd.
Kellogg Cancer Center
Glenview, IL 60025
Phone
(847) 503-4222
Fax
(247) 503-4220
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036070513 IL
Internal Medicine Physician 207R00000X 036070513 IL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 036-070513 IL Primary

Addresses

Primary practice location

2180 Pfingsten Rd.
Kellogg Cancer Center
Glenview, IL 60025

Mailing address

2180 Pfingsten Rd.
Kellogg Cancer Center
Glenview, IL 60025-1339
Phone (847) 503-4222

Other practice location 1

2050 Claire Ct
Glenview, IL 60025-7635
Phone (847) 556-1324

Other identifiers 3

IdentifierTypeStateIssuer
110213054OtherILRAILROAD MEDICARE
036070513OtherILPUBLIC AID
110050091OtherRR MCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asmookler3794@direct.northshore.org

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000628 IL Practitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Geriatric Medicine 3173560117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-070513ILMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Journeycare, Inc. CurrentSince Jun 1, 2015 Accepting new patients
Journeycare, Inc Current Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 1, 2017 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Village Internal Medicine, LTD Internal Medicine Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

3200 Grant St
Evanston, IL 60201
Phone (847) 492-4840

2180 Pfingsten Rd
Glenview, IL 60026
Phone (847) 503-1000

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

700 Oak St
Winnetka, IL 60093
Phone (847) 446-1066

Interoperability endpoints

  • Direct secure messaging: asmookler3794@direct.northshore.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669469276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 PFINGSTEN RD.",
            "address_2": "KELLOGG CANCER CENTER",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251339",
            "telephone_number": "847-503-4222",
            "fax_number": "247-503-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 PFINGSTEN RD.",
            "address_2": "KELLOGG CANCER CENTER",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60025",
            "telephone_number": "847-503-4222",
            "fax_number": "247-503-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Claire Ct",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600257635",
            "country_code": "US",
            "telephone_number": "847-556-1324",
            "fax_number": "847-556-1715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOOKLER",
        "first_name": "ALAN",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036070513",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036070513",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036-070513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110213054",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC AID",
            "identifier": "036070513",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCA",
            "identifier": "110050091",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asmookler3794@direct.northshore.org",
            "affiliation": "N",
            "address_1": "2180 Pfingsten Rd.",
            "address_2": "Kellogg Cancer Center",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.