DR. MICHAEL CHARLES SMITH PH.D.
NPI 1215062419
Psychologist - Clinical in Oak Brook, IL
About Dr. Michael Charles Smith Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL CHARLES SMITH PH.D. (NPI 1215062419) is an individual clinical provider in Oak Brook, Illinois and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Michael Charles Smith Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michael Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60608
- Reassigned Medicare billing, Illinois enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60523 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAK BROOK, IL 60523
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 Michael Smith's NPI number?
The NPI number for Michael Smith is 1215062419. It was assigned to this individual provider in the NPPES registry on February 21, 2007.
Where is Michael Smith located?
Michael Smith practices at 210 W 22nd St Suite 119, Oak Brook, IL 60523. The listed phone number is (630) 574-9084.
What is Michael Smith's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Michael Smith enrolled in Medicare?
Yes. Michael Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michael Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Smith reassigns Medicare benefits to The Chicago Lighthouse For People Who Are Blind Or Visually Impaired (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michael Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Dr. Michael Charles Smith, PH.D. · NPI 1215062419
Clinical provider in Oak Brook, Illinois. Individual provider, active in the CMS NPPES registry since February 21, 2007.
## Identity
- **NPI:** 1215062419 (Entity type: Individual)
- **Enumerated:** February 21, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 210 W 22ND ST, SUITE 119, Oak Brook, IL 60523-1544
- **Phone:** (630) 574-9084
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Chicago Lighthouse For People Who Are Blind Or Visually Impaired (NPI 1043326309, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1215062419) · Data from the CMS NPPES public registry.