Active NPI
Todd Smith, MD
- Family Medicine Physician
- Murphysboro, IL
National Provider Identifier
1760426316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036111462
- Practice address
- 7 South Hospital Drive
Murphysboro, IL 62966-3333 - Phone
- (618) 687-3418
- Fax
- (618) 687-1859
- NPI assigned
- Jun 15, 2006
- Last updated
- Jan 11, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036111462 | IL | Primary |
Addresses
Primary practice location
7 South Hospital Drive
Murphysboro, IL 62966-3333
Mailing address
PO Box 577
Carterville, IL 62918-0577
Phone (618) 956-9510
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250718003310 | IL | Order and Referring Only - Family Practice | 1052386067 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- tsmit508@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1760426316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 577",
"city": "CARTERVILLE",
"state": "IL",
"postal_code": "629180577",
"telephone_number": "618-956-9510",
"fax_number": "618-985-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SOUTH HOSPITAL DRIVE",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629663333",
"telephone_number": "618-687-3418",
"fax_number": "618-687-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TODD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036111462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murphysboro, IL
- Shawnee Health Service and Development Corp (Shawnee Health Care, Murphysboro)
- Shawnee Health Service and Development Corp (Shawnee Health Care, Murphysboro SUD)
- Karen Marie Shubert, RPH
- Colette Ellen Smith, LCSW, CADC
- Robert Mervin Smith, R.PH.
- Southern Il Dental Sleep Medicine
- Southern Illinois Hospital Services (St. Joseph Memorial Hospital)
- Southern Illinois Hospital Services (St Joseph Memorial Hospital)
- Southern Illinois Hospital Services (St. Joseph Memorial Hospital)
- Southern Illinois Medical Services, NFP (Medical Arts Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.