Joyce Marie Smith, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-063911 Issued in IL

Practice address

4650 S Ellis Ave
Chicago, IL 60653-3625

Phone

(773) 536-0470

Fax

(773) 536-0472

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joyce.smith.1@18277.direct.athenahealth.com

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.

• Chicago Family Health Center, Inc.

  dba Chicago Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1245266337
  Medicare reassignment NPD
• Chicago Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1528390507
  NPD
• Chicago Family Health Center, Inc.

  dba Chicago Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1770785644
  NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1841307543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293333",
            "telephone_number": "773-768-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 S ELLIS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533625",
            "telephone_number": "773-536-0470",
            "fax_number": "773-536-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOYCE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-063911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-063911",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Smith, PSYD
• Jordan Smith, LCSW
• Jordan Logan Smith
• Joseph Smith II, PA-C
• Joy Smith, PHARMD
• Kara Smith
• Karen Smith, CRNA
• Karla J Smith, FNP
• Karli H Smith, DPT
• Karnesha Smith

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.

Verify at the official NPI Registry.