| Dr Rudyard Uriah Smith, MD | |
|
1514 E 87th St, Chicago, IL 60619-6525 | |
| (773) 978-0757 | |
| (773) 978-0705 |
| Full Name | Dr Rudyard Uriah Smith |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 50 Years |
| Location | 1514 E 87th St, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295784031 | NPI | - | NPPES |
| 200414450A | Medicaid | IN | |
| 21627739 | Other | IL | BLUE CROSS ID |
| 036053241 | Other | IL | LICENSE NUMBER |
| 01037640A | Other | IN | LICENSE NUMBER |
| 036053241001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 202250 (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 036053241 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Advocate Trinity Hospital | Chicago, IL | Hospital |
| Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
| Villa At Windsor Park | Chicago, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rudyard Smith Md And Associates Sc | 2567360803 | 4 |
| American Medical Associates Llc | 8224006721 | 3 |
| Entity Name | Rudyard Smith Md And Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588607345 PECOS PAC ID: 2567360803 Enrollment ID: O20050929000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rudyard Uriah Smith, MD 539 Saint Andrews Dr, Schererville, IN 46375-2951 Ph: (219) 937-9653 | Dr Rudyard Uriah Smith, MD 1514 E 87th St, Chicago, IL 60619-6525 Ph: (773) 978-0757 |
Dr. Sorin C Danciu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3134 N Clark St, Chicago, IL 60657 Phone: 773-880-9722 | |
Anoopa A. Koshy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611 Phone: 312-926-6000 | |
William Edmond Gerardi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613 Phone: 773-244-3060 | |
Dr. Puneet Dhillon Grewal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave # 7-140, Chicago, IL 60608 Phone: 773-257-4758 | |
Alexandra Dumitrescu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Mitesh Mahesh Kabadi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612 Phone: 312-942-5020 | |
Dr. Marta Batus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612 Phone: 312-563-2487 Fax: 312-942-3192 |