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CASSANDRA ANN SMITH DO
NPI 1104566686
Family Medicine in Chicago, IL

Active since March 31, 2022PECOS Enrolled
4009 N BROADWAY ST, CHICAGO, IL 60613(773) 275-2586 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cassandra Ann Smith Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSANDRA ANN SMITH DO (NPI 1104566686) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.172157) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104566686
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCASSANDRA ANN SMITHCredential: DO
Location Address4009 N BROADWAY STChicago, IL 60613-2110
Mailing Address4009 N Broadway StChicago, IL 60613-2110 · (773) 275-2586
Phone(773) 275-2586
Sole ProprietorNo
Enumeration DateMarch 31, 2022
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1104566686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036.172157
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4009 N BROADWAY ST, Chicago, IL 60613
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassandra Ann Smith Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AISHA AYO WESLEY PA-C
Physician Assistant (Medical)
4009 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 275-2586
RONALD ANTHONY HICKOMBOTTOM M.D
Internal Medicine
4009 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 275-2586
MICHAEL COLTON DEMPSEY MD
Psychiatry & Neurology (Psychiatry)
4009 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 275-2586
VERONIKA R SPEEDWELL PA
Physician Assistant
4009 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 275-2586
DR. CHRISTOPHER A. MCCAFFREY-BOSS D.D.S.
Dentist (General Practice)
4009 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 275-2586
OLATOKUNBO ADEGBORO MD
Family Medicine
4009 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 388-1600
HANNAH PAUL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4009 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 275-2586
BETHANY JUDSON LCSW
Social Worker (Clinical)
4009 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 275-2586

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassandra Smith's NPI number?

The NPI number for Cassandra Smith is 1104566686. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Cassandra Smith located?

Cassandra Smith practices at 4009 N Broadway St, Chicago, IL 60613. The listed phone number is (773) 275-2586.

What is Cassandra Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cassandra Smith enrolled in Medicare?

Yes. Cassandra Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cassandra Smith was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.