Tamara Marie Smith, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036-126160 Issued in IL

Practice address

525 E. Grant Street
Outpatient Services Suite
Macomb, IL 61455

Phone

(309) 836-6937

Fax

(309) 836-6530

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA, IL2 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 2

Specialty

Obstetrics/Gynecology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McDonough County Hospital DistrictGroup PAC ID 0446140180, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• MC Donough District Hospital Hospital, Macomb, IL, CCN 140089
• Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tsmith1161691@direct.llu.edu

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.

• McDonough County Hospital District

  • Internal Medicine Physician
  • Macomb, IL
  • NPI 1609180082

  IL

  Medicare reassignment Care Compare group NPD
• Magella Medical Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Long Beach, CA
  • NPI 1376640086

  CA, Obstetrics & Gynecology

  Medicare reassignment NPD
• Obhg California, P.C.

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1215258892

  CA, Obstetrics & Gynecology

  Medicare reassignment NPD
• McDonough County Hospital District

  • Community/Retail Pharmacy
  • Macomb, IL
  • NPI 1245098458
  NPD
• McDonough County Hospital District

  • Anatomic Pathology & Clinical Pathology Physician
  • Macomb, IL
  • NPI 1396055869
  NPD
• Tamara M. Leonas D.O., Inc.

  • Obstetrics & Gynecology Physician
  • Temecula, CA
  • NPI 1568471944

  Obstetrics & Gynecology

  NPD
• Samir E. Hage, D.O., Inc.

  • Obstetrics & Gynecology Physician
  • Redlands, CA
  • NPI 1811184179

  Obstetrics & Gynecology

  NPD (past)
• Womens Healthcare of Temecula

  • Gynecology Physician
  • Temecula, CA
  • NPI 1902159460
  NPD (past)

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

• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1669420766

  Hospital

  Care Compare affiliation
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1932118239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E. GRANT STREET",
            "address_2": "OUT PATIENT SERVICES SUITE",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "61455",
            "telephone_number": "309-836-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E. GRANT STREET",
            "address_2": "OUTPATIENT SERVICES SUITE",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "61455",
            "telephone_number": "309-836-6937",
            "fax_number": "309-836-6530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28062 Baxter Rd",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925631401",
            "country_code": "US",
            "telephone_number": "864-908-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAMARA",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A6984",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-126160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX69840",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100122074",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Shepherd, MD
• Cassandra L. Simmons, PSYD
• Sarah Beth Skiles, APRN
• Jennifer Smith, LCSW
• Mary L. Smith
• Casey Sue Sollenberger, RDN
• Jennifer Soucie, R.D., LDN
• Jeffrey Ryan Sparks, D.O.
• Springfield Clinic LLP
• Springfield Clinic Macomb Lab

• Obstetrics & Gynecology Physician in Macomb, IL
• Providers in Macomb, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.
• 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.