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CARLOS F SMITH DPM PC
NPI 1609063155
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since September 28, 2007
711 W NORTH AVE, STE 210, CHICAGO, IL 60610(312) 642-3440(312) 642-4319 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carlos F Smith Dpm Pc NPPES

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

CARLOS F SMITH DPM PC (NPI 1609063155) is a healthcare organization registered as a foot & ankle surgery in Chicago, Illinois and active in the NPI registry since September 2007. The organization lists Carlos Frederick Smith, President, as its authorized official.

NPPES Registry Identity

NPI1609063155
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameCARLOS F SMITH DPM PC
Location Address711 W NORTH AVE, STE 210Chicago, IL 60610-1042
Mailing Address711 W North Ave, Ste 210Chicago, IL 60610-1042 · (312) 642-3440 · Fax (312) 642-4319
Phone(312) 642-3440
Fax(312) 642-4319
Organization SubpartNo
Authorized OfficialCarlos Frederick SmithPresident · (312) 642-3440
Enumeration DateSeptember 28, 2007
Last NPPES UpdateApril 27, 2011
✔ NPI 1609063155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016004833
711 W NORTH AVE, Chicago, IL 60610
Open in Google Maps ↗

Other Identifiers 4

Other480035349IL · Palmetto Gba
Medicaid016004833IL
Medicare NSC1326100001IL
Medicare PIN202015IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos F Smith Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Carlos F Smith DPM PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Carlos Smith, DPM
Podiatry
NPI 1033190079
1301 E 47TH ST BLDG 2
Chicago, IL 60653
(773) 924-7765
✔ PECOS✔ Accepts Medicare7.5 mi
Qeena Woodard, DPM
Podiatry
NPI 1548210339
3471 GREEN BAY ROAD
North Chicago, IL 60064
(847) 473-4357
✔ PECOS✔ Accepts Medicare29 mi

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

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 Carlos F Smith Dpm PC's NPI number?

The NPI number for Carlos F Smith Dpm PC is 1609063155. It was assigned to this organization in the NPPES registry on September 28, 2007.

Where is Carlos F Smith Dpm PC located?

Carlos F Smith Dpm PC is located at 711 W North Ave Ste 210, Chicago, IL 60610. The listed phone number is (312) 642-3440.

What is Carlos F Smith Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Carlos F Smith Dpm PC enrolled in Medicare?

Yes. Carlos F Smith Dpm PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carlos F Smith Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Carlos F Smith Dpm PC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carlos F Smith Dpm PC was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.