CRAIG SMUDA M.D. PH.D.
NPI 1679962542
Internal Medicine - Rheumatology in Chicago, IL

Active since January 15, 2015PECOS EnrolledAccepts Medicare Assignment
5841 S MARYLAND AVE # MC0930, CHICAGO, IL 60637(773) 702-1000(248) 278-4806 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 2, 2024, Feb 7, 2024, Aug 12, 2020 and 2 more (5 updates tracked since 2018).

About Craig Smuda M.d. Ph.d. NPPES

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

CRAIG SMUDA M.D. PH.D. (NPI 1679962542) is an individual rheumatology provider in Chicago, Illinois, licensed in Illinois (036167136) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679962542
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameCRAIG SMUDACredential: M.D. PH.D.
Location Address5841 S MARYLAND AVE # MC0930Chicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965 · (773) 702-1150 · Fax (248) 278-4806
Fax(248) 278-4806
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2015
Enumeration DateJanuary 15, 2015
Last NPPES UpdateMay 2, 20245 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
NPI 1679962542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in IL · 036167136 Licensed in NY · 300518
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

5841 S MARYLAND AVE # MC0930, Chicago, IL 60637

Secondary Practice Locations 2

Location 1500 Remington BlvdBolingbrook, IL 60440-4906 · Phone (630) 312-5500 · Fax (630) 312-2700
Location 22363 63rd StWoodridge, IL 60517-1300 · Phone (630) 716-7510

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

Craig Smuda M.d. Ph.d. 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 ID9133423197
PECOS Enrollment IDI20240207001281
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 3

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 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.
40 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Bolingbrook

Acute Care Hospitals · Bolingbrook, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140304
Location500 Remington BoulevardBolingbrook, IL 60440 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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 2

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

Internal Medicine
5841 S MARYLAND AVE # MC0930
CHICAGO, IL 60637
Internal Medicine (Rheumatology)
5841 S MARYLAND AVE # MC0930
CHICAGO, IL 60637

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 Craig Smuda's NPI number?

The NPI number for Craig Smuda is 1679962542. It was assigned to this individual provider in the NPPES registry on January 15, 2015.

Where is Craig Smuda located?

Craig Smuda practices at 5841 S Maryland Ave # Mc0930, Chicago, IL 60637. The listed phone number is (773) 702-1000.

What is Craig Smuda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Craig Smuda enrolled in Medicare?

Yes. Craig Smuda 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 Craig Smuda accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Craig Smuda 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 Craig Smuda affiliated with any hospitals?

According to CMS data, Craig Smuda is affiliated with Adventist La Grange Memorial Hospital, The University Of Chicago Medical Center, Adventist Hinsdale Hospital, Ingalls Memorial Hospital and Uchicago Medicine Adventhealth Bolingbrook.

When was this NPI record last updated?

The NPPES record for Craig Smuda was last updated on May 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.