SHANI KAMARIA SMITH D.O., M.B.A.
NPI 1659674240
Internal Medicine in Olympia Fields, IL

Active since December 21, 2010PECOS EnrolledAccepts Medicare Assignment
3700 W 203RD ST STE 204, OLYMPIA FIELDS, IL 60461(708) 709-6295 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2021, May 25, 2021, Dec 27, 2020 and 1 more (4 updates tracked since 2018).

About Shani Kamaria Smith D.o., M.b.a. NPPES

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

SHANI KAMARIA SMITH D.O., M.B.A. (NPI 1659674240) is an individual internal medicine provider in Olympia Fields, Illinois, licensed in Illinois (036.130820) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1659674240
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHANI KAMARIA SMITHCredential: D.O., M.B.A.
Location Address3700 W 203RD ST STE 204Olympia Fields, IL 60461-1182
Mailing Address35318 Eagle WayChicago, IL 60678-1353 · (317) 528-4800 · Fax (317) 865-1479
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2007
Enumeration DateDecember 21, 2010
Last NPPES UpdateJuly 28, 20214 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
NPI 1659674240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036.130820
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036.130820 (IL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036.130820 (IL)
3700 W 203RD ST STE 204, Olympia Fields, IL 60461

Secondary Practice Location 1

Location 1917 W Washington BlvdChicago, IL 60607-2203 · Phone (555) 555-5555

Other Identifiers 1

OtherF00280905IL · Medicare Il Ptan

Accepted 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

Shani Kamaria Smith D.o., M.b.a. 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 ID3577790906
PECOS Enrollment IDI20171121003618, I20230616003340
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
65 services61 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210048
Location5755 Cedar LaneColumbia, MD 21044 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60461 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.

Other Providers at the Same Location NPPES

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

Family Medicine
3700 W 203RD ST STE 204
OLYMPIA FIELDS, IL 60461

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 Shani Smith's NPI number?

The NPI number for Shani Smith is 1659674240. It was assigned to this individual provider in the NPPES registry on December 21, 2010.

Where is Shani Smith located?

Shani Smith practices at 3700 W 203rd St Ste 204, Olympia Fields, IL 60461. The listed phone number is (708) 709-6295.

What is Shani Smith's specialty?

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

Is Shani Smith enrolled in Medicare?

Yes. Shani 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 Shani Smith accept?

Health plans from Moda Health Plan, Inc. list Shani 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 Shani Smith affiliated with any hospitals?

According to CMS data, Shani Smith is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center, Johns Hopkins Hospital, The and Johns Hopkins Howard County Medical Center.

When was this NPI record last updated?

The NPPES record for Shani Smith was last updated on July 28, 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.