Active NPI
Steven J Smith, MD
- Vascular & Interventional Radiology Physician
- Hinsdale, IL
National Provider Identifier
1689692949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 036067397
- Practice address
- 911 N Elm St
Ste 128
Hinsdale, IL 60521-3634 - Phone
- (630) 856-7460
- Fax
- (630) 655-9943
- NPI assigned
- Jul 17, 2006
- Last updated
- Mar 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 036067397 | IL | Primary |
Addresses
Primary practice location
911 N Elm St
Ste 128
Hinsdale, IL 60521-3634
Mailing address
911 N Elm St
Ste 128
Hinsdale, IL 60521-3634
Phone (630) 856-7460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 399690 | Other | IL | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036067397 | IL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Partners, Inc | Past | Accepting new patients | |
| Suburban Radiologists, S.C. | Vascular & Interventional Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Hinsdale Internal Medicine
- Internal Medicine Physician
- Westmont, IL
- NPI 1306889654
-
- Diagnostic Radiology Physician
- La Grange, IL
- NPI 1386665396
Vascular & Interventional Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1689692949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 N ELM ST",
"address_2": "STE 128",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213634",
"telephone_number": "630-856-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N ELM ST",
"address_2": "STE 128",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213634",
"telephone_number": "630-856-7460",
"fax_number": "630-655-9943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "STEVEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036067397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "399690",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.