DR. KEVIN DONALD SMITH MD
NPI 1649632993
Pediatrics - Pediatric Critical Care Medicine in Chicago, IL

Q: What is Kevin Smith's NPI number?

The NPI number for Kevin Smith is 1649632993. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Q: What is Kevin Smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Smith was last updated on May 19, 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.

Active since March 25, 2016PECOS Enrolled

5841 S MARYLAND AVE # MC1145, CHICAGO, IL 60637(773) 702-3020 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2023, Jul 14, 2020, Mar 3, 2020 and 2 more (5 updates tracked since 2016).

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About Dr. Kevin Donald Smith Md NPPES

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

DR. KEVIN DONALD SMITH MD (NPI 1649632993) is an individual pediatric critical care medicine provider in Chicago, Illinois, licensed in Illinois (036.164127) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1649632993

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. KEVIN DONALD SMITHCredential: MD

Location Address5841 S MARYLAND AVE # MC1145Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-3020

Sole ProprietorNo

Enumeration DateMarch 25, 2016

Last NPPES UpdateMay 19, 20235 updates tracked since enumeration

NPPES CertifiedMay 19, 2023

✔ NPI 1649632993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in IL · 036.164127✔ Licensed in DE · C7-0007316

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License DR.0062439 (CO)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5841 S MARYLAND AVE # MC1145, Chicago, IL 60637

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Secondary Practice Location 1

Location 11600 Rockland RdWilmington, DE 19803-3607 · Phone (302) 651-4029

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Donald Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

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

LIANNA MARIE DROBATZ MD

Pediatrics