DR. DANA-RACHAEL SMITH M.D.
NPI 1225356090
Surgery in Crown Point, IN

Q: What is Dana-rachael Smith's NPI number?

The NPI number for Dana-rachael Smith is 1225356090. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Q: What is Dana-rachael Smith's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since May 04, 2010PECOS EnrolledAccepts Medicare Assignment

12800 MISSISSIPPI PKWY STE C100, CROWN POINT, IN 46307(219) 662-5585(219) 662-5586 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2023, Aug 13, 2019, Jan 18, 2019 (3 updates tracked since 2019).

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About Dr. Dana-rachael Smith M.d. NPPES

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

DR. DANA-RACHAEL SMITH M.D. (NPI 1225356090) is an individual surgery provider in Crown Point, Indiana, licensed in Indiana (01087244A) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Crown Point, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225356090

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. DANA-RACHAEL SMITHCredential: M.D.

Location Address12800 MISSISSIPPI PKWY STE C100Crown Point, IN 46307-6901

Mailing Address7895 Grand BlvdHobart, IN 46342-6665 · (219) 947-1910 · Fax (219) 947-3117

Phone(219) 662-5585

Fax(219) 662-5586

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 4, 2010

Last NPPES UpdateMay 24, 20233 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1225356090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IN · 01087244A

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

12800 MISSISSIPPI PKWY STE C100, Crown Point, IN 46307

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Secondary Practice Locations 2

Location 17895 Grand BlvdHobart, IN 46342-6665 · Phone (219) 947-1910 · Fax (219) 947-3117

Location 2101 E 87th Ave Ste 420Merrillville, IN 46410-7335 · Phone (219) 769-2041 · Fax (219) 769-2313

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Dana-rachael Smith M.d. 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 ID446563415

PECOS Enrollment IDI20220304000495

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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

92 services49 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

74 services71 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

26 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150126

Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County

Emergency services Birthing friendly

Franciscan Health Rensselaer, Inc

Critical Access Hospitals · Rensselaer, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151324

Location1104 E Grace StRensselaer, IN 47978 · Jasper County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 2

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

DR. MARK ALLEN MUELLER MD

Surgery

12800 MISSISSIPPI PKWY STE C100
CROWN POINT, IN 46307

Lake County (219) 662-5585

CHRISTOPHER RYAN MUSSMAN D.O.

Surgery

12800 MISSISSIPPI PKWY STE C100
CROWN POINT, IN 46307

Lake County (219) 662-5585

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 Dana-rachael Smith's NPI number?

The NPI number for Dana-rachael Smith is 1225356090. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Where is Dana-rachael Smith located?

Dana-rachael Smith practices at 12800 Mississippi Pkwy Ste C100, Crown Point, IN 46307. The listed phone number is (219) 662-5585.

What is Dana-rachael Smith's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dana-rachael Smith enrolled in Medicare?

Yes. Dana-rachael 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.

What insurance does Dana-rachael Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Dana-rachael Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dana-rachael Smith affiliated with any hospitals?

According to CMS data, Dana-rachael Smith is affiliated with Franciscan Health Crown Point and Franciscan Health Rensselaer, Inc.

When was this NPI record last updated?

The NPPES record for Dana-rachael Smith was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.