SHELBY SMITH
NPI 1114554078
Orthopaedic Surgery in Chicago, IL

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
1620 W HARRISON ST, CHICAGO, IL 60612(312) 942-5000 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2020, Mar 23, 2020 (2 updates tracked since 2020).

About Shelby Smith NPPES

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

SHELBY SMITH (NPI 1114554078) is an individual orthopaedic surgery provider in Chicago, Illinois, licensed in Illinois (125.075845) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114554078
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameSHELBY SMITH
Location Address1620 W HARRISON STChicago, IL 60612-3801
Mailing Address1620 W Harrison StChicago, IL 60612-3801
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateJuly 31, 20202 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
NPI 1114554078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 125.075845
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1620 W HARRISON ST, Chicago, IL 60612

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shelby Smith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022435700
PECOS Enrollment IDI20250701002509
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Orthoindy Hospital

Acute Care Hospitals · Indianapolis, IN
OwnershipPhysician
CMS Certification Number150160
Location8400 Northwest BlvdIndianapolis, IN 46278 · Marion County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

Emergency Medicine
1620 W HARRISON ST, DEPT. OF EMERGENCY MEDICINE TOWER
CHICAGO, IL 60612
Emergency Medicine
1620 W HARRISON ST, DEPARTMENT OF EMERGENCY MEDICINE
CHICAGO, IL 60612
Social Worker (Clinical)
1620 W HARRISON ST, TOWER RESOURCE CENTER, STE 04527
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1620 W HARRISON ST
CHICAGO, IL 60612
Registered Nurse (Pediatrics)
1620 W HARRISON ST
CHICAGO, IL 60612
Dietitian, Registered
1620 W HARRISON ST
CHICAGO, IL 60612
Registered Nurse (Neonatal Intensive Care)
1620 W HARRISON ST
CHICAGO, IL 60612
Plastic Surgery
1620 W HARRISON ST
CHICAGO, IL 60612

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 Shelby Smith's NPI number?

The NPI number for Shelby Smith is 1114554078. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Shelby Smith located?

Shelby Smith practices at 1620 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 942-5000.

What is Shelby Smith's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Shelby Smith enrolled in Medicare?

Yes. Shelby Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shelby Smith affiliated with any hospitals?

According to CMS data, Shelby Smith is affiliated with Ascension St Vincent Hospital and Orthoindy Hospital.

When was this NPI record last updated?

The NPPES record for Shelby Smith was last updated on July 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.