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

Q: 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.

Q: What is Craig Smuda's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Craig Smuda was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 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: November 01, 2026.

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

On this page

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

Phone(773) 702-1000

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

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Secondary Practice Locations 2

Location 12363 63rd StWoodridge, IL 60517-1300 · Phone (630) 716-7510

Location 2500 Remington BlvdBolingbrook, IL 60440-4906 · Phone (630) 312-5500 · Fax (630) 312-2700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Craig Smuda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center

Same address

General Acute Care Hospital

5841 S MARYLAND AVE
Chicago, IL 60637

Reassigned Medicare billing, Illinois enrollment
1,905 clinicians in this Medicare group

NPI 1033218128 (773) 702-1530

University Of Chicago

Same address

Multi-Specialty

5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637

Reassigned Medicare billing, Illinois enrollment
2,237 clinicians in this Medicare group

NPI 1821048786 (773) 702-9200

Adventist Health Partners, Inc

8.9 mi

Family Medicine

6283 S ARCHER AVE
Chicago, IL 60638

Reassigned Medicare billing, Illinois enrollment
381 clinicians in this Medicare group

NPI 1346592664 (773) 585-3131

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

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 4

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

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.

SAMAN TANVEER MD

Internal Medicine (Rheumatology)

5841 S MARYLAND AVE # MC0930
CHICAGO, IL 60637

Cook County (773) 702-6119

YOMAIRA SILVA MD

Internal Medicine

5841 S MARYLAND AVE # MC0930
CHICAGO, IL 60637

Cook County (773) 702-6119

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.

Which organizations bill Medicare for Craig Smuda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Smuda reassigns Medicare benefits to 3 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL) and Adventist Health Partners, Inc (Chicago, IL). Each 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 Craig Smuda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Craig Smuda accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.