Individual provider Active NPI

Jason J Smythe, M.D.

  • Diagnostic Radiology Physician
  • McHenry, IL
National Provider Identifier
1831361963
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036128797 Issued in IL
Practice address
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone
(815) 334-5566
Fax
(815) 759-4008
NPI assigned
Mar 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036128797 IL Primary
Diagnostic Radiology Physician 2085R0202X 4301093841 MI
Diagnostic Radiology Physician 2085R0202X MT185672 PA
Diagnostic Radiology Physician 2085R0202X 7561943-1205 UT

Addresses

Primary practice location

4201 W Medical Center Dr
McHenry, IL 60050-8409

Mailing address

4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 334-5566

Other practice location 1

389 S 900 E
Salt Lake City, UT 84102
Phone (385) 282-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, UT, NH, WV, IL, KY, NC7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20090818000425 MI Practitioner - Diagnostic Radiology 5294889762 Reassigns benefits to 1 organization
I20100922001259 UT Practitioner - Diagnostic Radiology 5294889762 Reassigns benefits to 8 organizations
I20200623002899 NH Practitioner - Diagnostic Radiology 5294889762
I20201103001084 WV Practitioner - Radiation Oncology 5294889762 Reassigns benefits to 1 organization
I20210113000422 IL Practitioner - Diagnostic Radiology 5294889762
I20230505000699 KY Practitioner - Diagnostic Radiology 5294889762 Reassigns benefits to 1 organization
I20260513002576 NC Practitioner - Diagnostic Radiology 5294889762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Radiologists IncGroup PAC ID 0840241907, 25 clinicians
The Bellevue HospitalGroup PAC ID 6800863952, 10 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Uintah Basin Medical CenterGroup PAC ID 0244131944, 62 clinicians
Appalachian Mountains Medical LLCGroup PAC ID 6709016264, 43 clinicians

Practice addresses (Care Compare)

Draper, UT 84020
Phone (740) 348-5545

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934

1157 N 300
Provo, UT 84604-6124

12473 S Minuteman Dr
Draper, UT 84020-7870
Phone (801) 495-7970

1350 N 500
Logan, UT 84341-2400
Phone (435) 716-1958

1424 E Foremaster Dr
Suite 140
St George, UT 84790-5830
Phone (435) 251-2888

159 N Main St
Manti, UT 84642-1257
Phone (435) 835-3344

166 W 1325
Suite 150
Cedar City, UT 84721-7797
Phone (435) 586-6962

181 E Medical Tower Dr
Murray, UT 84107-4872
Phone (801) 314-7750

1915 W 5950
Roy, UT 84067-1454
Phone (801) 387-8100

2000 S 900
Salt Lake City, UT 84105-3208
Phone (801) 464-7788

201 W Layton Pkwy
Layton, UT 84041-3692

210 W 300
Roosevelt, UT 84066-2336

2400 N Washington Blvd
North Ogden, UT 84414-7233
Phone (435) 792-1770

250 W 300
75 2
Roosevelt, UT 84066-2336
Phone (435) 722-4691

2655 W 9000
West Jordan, UT 84088-8542
Phone (801) 568-9933

280 N Main St
Bountiful, UT 84010-6136
Phone (801) 298-2495

324 E 10TH Ave
Suite 100
Salt Lake City, UT 84103-2870
Phone (801) 408-1440

3249 N 1200
Lehi, UT 84043-9772
Phone (801) 753-4300

354 W Crossroads Blvd
Saratoga Springs, UT 84045-5506
Phone (801) 341-5295

354 W State Rd
Suite 73
Saratoga Springs, UT 84045-5506
Phone (801) 341-5200

3723 W 1200
Riverton, UT 84065-7296
Phone (801) 535-7035

3723 W 12600
Riverton, UT 84065-7295
Phone (801) 285-2482

3723 W 12600
Riverton, UT 84065-7296

3845 W 4700
Taylorsville, UT 84129-3454
Phone (801) 840-8444

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218
  • Uintah Basin Medical Center Hospital, Roosevelt, UT, CCN 460019
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301093841MIMDDiagnostic Radiology Physician
MT185672PAMDDiagnostic Radiology Physician
7561943-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Radiologists, Inc. Diagnostic Radiology CurrentSince Feb 2, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jul 21, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Jul 1, 2010 Accepting new patients
The Bellevue Hospital CurrentSince Mar 23, 2025 Accepting new patients
Uintah Basin Medical Center CurrentSince Jan 15, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Uintah Basin Medical Center CurrentSince Jan 15, 2022 Accepting new patients
Radiology & Nuclear Consultants LTD Diagnostic Radiology CurrentSince Mar 24, 2015 Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Southeast Texas Imaging LLP Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Jul 21, 2020 Accepting new patients
Appalachian Mountains Medical, LLC Family Medicine CurrentSince May 15, 2024 Accepting new patients
Sheridan Community Hospital Past Accepting new patients

Locations

15300 West Ave
Ste 100
Orland Park, IL 60462
Phone (708) 226-2500

12251 S 80th Ave
Ste 1630
Palos Heights, IL 60463
Phone (708) 923-5173

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

2000 Tamarack Rd
Newark, OH 43055
Phone (740) 788-6000

553 W 2600 S
Ste 120
Bountiful, UT 84010
Phone (203) 327-1187

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

223 Dry Hill Rd
Beckley, WV 25801

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1831361963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "389 S 900 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84102",
            "country_code": "US",
            "telephone_number": "385-282-2000",
            "fax_number": "385-282-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMYTHE",
        "first_name": "JASON",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036128797",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301093841",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT185672",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "7561943-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.