MARK ALAN SMITH DPM NPI 1093885378

NPI Information

  • NPI: 1093885378
  • Provider Name: MARK ALAN SMITH, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3322 W WILLOW KNOLLS DR
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 691-5800

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NPI Details

Mark Alan Smith, DPM is a podiatrist in Peoria, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Mark Alan Smith, DPM NPI is 1093885378. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3322 W WILLOW KNOLLS DR
PEORIA, IL
ZIP 61614
Phone: (309) 691-5800
Fax: (309) 691-1336

The NPI 1093885378 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Trimming of fingernails or toenails (HCPCS:11719)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injection into tendon or ligament (HCPCS:20550)

The enumeration date for this NPI number is 11/8/2006 and was last updated on 12/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist016004790ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1928270OTHERILLINOISMEDICARE PROVIDER
2480022534OTHERILLINOISRAILROAD MEDICARE
3U63052MEDICARE UPINILLINOIS
4016004790MEDICAIDILLINOIS
5L55392MEDICARE PINILLINOIS
60007215174OTHERILLINOISBLUE CROSS BLUE SHIELD
70515580002MEDICARE NSCILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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