BONNIE SMITH DO
NPI 1669829776
Family Medicine in Chicago, IL

Q: What is Bonnie Smith's NPI number?

The NPI number for Bonnie Smith is 1669829776. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Q: What is Bonnie Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bonnie Smith was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 18, 2016PECOS EnrolledAccepts Medicare Assignment

2355 S WESTERN AVE, CHICAGO, IL 60608(732) 541-4007(312) 829-6375 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2019, Oct 28, 2016, May 18, 2016 (3 updates tracked since 2016).

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About Bonnie Smith Do NPPES

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

BONNIE SMITH DO (NPI 1669829776) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036150551) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Zuni Comprehensive Community Health Center, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2016).

NPPES Registry Identity

NPI1669829776

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBONNIE SMITHCredential: DO

Location Address2355 S WESTERN AVEChicago, IL 60608-3837

Mailing Address966 W 21st StChicago, IL 60608-4511 · (773) 254-1400 · Fax (312) 829-6375

Phone(732) 541-4007

Fax(312) 829-6375

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2016

Enumeration DateMay 18, 2016

Last NPPES UpdateAugust 23, 20193 updates tracked since enumeration

✔ NPI 1669829776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036150551

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2355 S WESTERN AVE, Chicago, IL 60608

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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

Bonnie Smith Do 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 ID6204114887

PECOS Enrollment IDI20231202000630

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 2

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.

68 services57 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.

28 services24 patients

Hospital Affiliations CMS Care Compare

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

Zuni Comprehensive Community Health Center

Acute Care Hospitals · Zuni, NM

OwnershipGovernment - Federal

CMS Certification Number320060

LocationRoute 301 North B StreetZuni, NM 87327 · Mckinley County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

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.

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Other Providers at the Same Location NPPES 20

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

MRS. MIREYA E RENTERIA RD, LDN

Dietitian, Registered