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DR. RUDYARD URIAH SMITH M.D.
NPI 1295784031
Internal Medicine in Chicago, IL

Active since May 09, 2006PECOS EnrolledCLIA 14D2013033 · Waiver
1514 E 87TH ST, CHICAGO, IL 60619(773) 978-0757(773) 978-0705 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2021, Mar 15, 2021 (2 updates tracked since 2021).

About Dr. Rudyard Uriah Smith M.d. NPPES

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

DR. RUDYARD URIAH SMITH M.D. (NPI 1295784031) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036053241) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 13, 2028, and is affiliated with Advocate Trinity Hospital.

NPPES Registry Identity

NPI1295784031
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RUDYARD URIAH SMITHCredential: M.D.
Location Address1514 E 87TH STChicago, IL 60619-6525
Mailing Address539 Saint Andrews DrSchererville, IN 46375-2951 · (219) 937-9653 · Fax (219) 937-1486
Phone(773) 978-0757
Fax(773) 978-0705
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1975
Enumeration DateMay 9, 2006
Last NPPES UpdateAugust 6, 20212 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1295784031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036053241✔ Licensed in IN · 202250
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1514 E 87TH ST, Chicago, IL 60619
Open in Google Maps ↗

Secondary Practice Location 1

Location 13510 W 79th StChicago, IL 60652-1430 · Phone (773) 978-0757 · Fax (773) 978-0757

Other Identifiers 5

Other036053241IL · License Number
Medicaid036053241001IL
Medicaid200414450AIN
Other21627739IL · Blue Cross Id
Other01037640AIN · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rudyard Uriah Smith M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698673937
PECOS Enrollment IDI20031223000793, I20040922000787
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rudyard Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rudyard Smith MD And Associates Sc
Same address
Multi-Specialty
1514 E 87TH ST
Chicago, IL 60619
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1588607345 (773) 978-0757
American Medical Associates LLC
14 mi
Internal Medicine
9250 COLUMBIA AVE STE 1F
Munster, IN 46321
  • Reassigned Medicare billing, Indiana enrollment
  • 4 clinicians in this Medicare group
NPI 1942303870 (219) 937-9653
Lakeshore Home Visiting Physicians
17 mi
Home Health
5232 N SHERIDAN RD
Chicago, IL 60640
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1063152734 (773) 654-3326

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2013033

Rudyard Smith MD Sc · Chicago, IL
Active · expires Sep 13, 2028
CLIA Number14D2013033
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2026
Certificate Expiration DateSeptember 13, 2028
Laboratory DirectorDr. Rudyard U. Smith
Laboratory Phone(773) 978-0757
Laboratory LocationRudyard Smith MD Sc1514 E 87th St, Chicago, IL 60619
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D0424859

Rudyard Smith M D S C · Chicago, IL
Expired · Oct 22, 2026
CLIA Number14D0424859
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorRudyard U. Smith M D
Laboratory Phone(773) 434-0827
Laboratory LocationRudyard Smith M D S C3510 W 79th St, Chicago, IL 60652
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

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.
180 services75 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
128 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
86 services59 patients
Hemoglobin a1c level, by device for home use 83037
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
76 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services40 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
44 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60619 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers42 claims114 services$6.02 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers30 claims45 services$1.03 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims13 services$31.24 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims25 services$15.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers37 claims37 services$62.39 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers17 claims18 services$13.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

STEVEN SMITH MD
Family Medicine
1514 E 87TH ST
CHICAGO, IL 60619
Cook County (773) 978-0757
ELAINE CABUGASON M.D.
Internal Medicine
1514 E 87TH ST
CHICAGO, IL 60619
Cook County (773) 978-0757
RUDYARD SMITH MD AND ASSOCIATES SC
Clinic/Center (Multi-Specialty)
1514 E 87TH ST
CHICAGO, IL 60619
Cook County (773) 978-0757

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 Rudyard Smith's NPI number?

The NPI number for Rudyard Smith is 1295784031. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Rudyard Smith located?

Rudyard Smith practices at 1514 E 87th St, Chicago, IL 60619. The listed phone number is (773) 978-0757.

What is Rudyard Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rudyard Smith enrolled in Medicare?

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

Which organizations bill Medicare for Rudyard Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rudyard Smith reassigns Medicare benefits to 3 organizations: Rudyard Smith MD And Associates Sc (Chicago, IL), American Medical Associates LLC (Munster, IN) and Lakeshore Home Visiting Physicians (Chicago, IL). Each 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 Rudyard Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Rudyard Smith hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2013033) is associated with this NPI, valid through September 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rudyard Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and Oscar Health list Rudyard 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 Rudyard Smith affiliated with any hospitals?

According to CMS data, Rudyard Smith is affiliated with Advocate Trinity Hospital, Advocate Christ Hospital & Medical Center, Community Hospital and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Rudyard Smith was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.