Individual provider Active NPI

Michael John Smerek, DPT

  • Physical Therapist
  • Algonquin, IL
National Provider Identifier
1922272400
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070012662 Issued in IL
Practice address
650 S Randall Rd
Algonquin, IL 60102-5944
Phone
(815) 398-9491
Fax
(815) 381-7498
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070012662 IL Primary

Addresses

Primary practice location

650 S Randall Rd
Algonquin, IL 60102-5944

Mailing address

PO Box 735263
Chicago, IL 60673-5263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050107000658 IL Practitioner - Physical Therapist in Private Practice 4880642644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians

Practice addresses (Care Compare)

4119 W Shamrock LN
McHenry, IL 60050-8268
Phone (815) 398-9494

6226 Northwest Hwy
Crystal Lake, IL 60014-7933
Phone (815) 398-9491

650 S Randall Rd
Algonquin, IL 60102-5944
Phone (815) 381-7431

770 Beloit Rd
Belvidere, IL 61008-1745
Phone (815) 398-9491

Merit-based Incentive Payment System (MIPS)

Final score
84.02 of 100Reported as group
Quality
68.63
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070012662ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC CurrentSince Sep 1, 2013 Accepting new patients
Orthomidwest, PLLC Physical Therapist CurrentSince Sep 1, 2013 Accepting new patients

Locations

650 S Randall Rd
Algonquin, IL 60102
Phone (779) 771-7000

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

750 E Terra Cotta Ave
Ste C
Crystal Lake, IL 60014
Phone (815) 455-0800

750 E Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0800

5875 E Riverside Blvd
Rockford, IL 61114
Phone (779) 774-1270

535 Roxbury Rd
Rockford, IL 61107
Phone (815) 387-1717

Interoperability endpoints

  • Direct secure messaging: michael.smerek@ro.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1922272400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735263",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S RANDALL RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025944",
            "telephone_number": "815-398-9491",
            "fax_number": "815-381-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEREK",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.