Active NPI
Paul A Smucker, MD
- Physical Medicine & Rehabilitation Physician
- Granger, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 01040699A
- Practice address
- 51744 Oakbrook CT
Granger, IN 46530-7074 - Phone
- (217) 891-6177
- NPI assigned
- Jan 11, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 01040699A | IN | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 01040699A | IN | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 036085527 | IL |
Addresses
Primary practice location
51744 Oakbrook CT
Granger, IN 46530-7074
Mailing address
51744 Oakbrook CT
Granger, IN 46530-7074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Indiana University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738
425 Sand Creek Dr
Chesterton, IN 46304-1589
53880 Carmichael Dr
South Bend, IN 46635-1567
Phone (317) 455-1064
60160 Bodnar Blvd
Mishawaka, IN 46544-9338
Phone (574) 247-9441
900 I St
La Porte, IN 46350-5533
Phone (574) 247-9441
Hospital & facility affiliations
- Saint Joseph Regional Medical Center - Plymouth
- Franciscan Health Michigan City
- Northwest Health-la Porte
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.81 of 100
- Quality
- 64.48
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 78.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036085527 | IL | MD | Physical Medicine & Rehabilitation Physician |
| 01040699A | IN | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Indiana Orthopedics, LLC | Current | Accepting new patients | |
| Central Indiana Orthopedics LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Orthopaedic Center of Illinois | Past | Accepting new patients | |
| Laporte Medical Group Surgical Center, LLC | Past | Accepting new patients |
Locations
900 I St
Laporte, IN 46350
Phone (219) 324-1670
60160 Bodnar Blvd
Mishawaka, IN 46544
Phone (574) 247-2790
3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870
2349 Lake Ave
Ste 201
Plymouth, IN 46563
Phone (574) 540-2500
53880 Carmichael Dr
South Bend, IN 46635
Phone (574) 234-1159
Interoperability endpoints
- paul.smucker.3@13070.direct.athenahealth.com
- psmucker1158522@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Muncie, IN
- NPI 1063422137
Physical Medicine & Rehabilitation
-
- Physical Therapist
- Chesterton, IN
- NPI 1467608687
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1669207023
-
- Ambulatory Surgical Clinic/Center
- La Porte, IN
- NPI 1285870303
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1144372798
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1952380743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51744 OAKBROOK CT",
"city": "GRANGER",
"state": "IN",
"postal_code": "465307074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51744 OAKBROOK CT",
"city": "GRANGER",
"state": "IN",
"postal_code": "465307074",
"telephone_number": "217-891-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMUCKER",
"first_name": "PAUL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "IN",
"license": "01040699A",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "01040699A",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036085527",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.