DR. SMITA VYAS (MD) – Anesthesiology Physician, NPI 1780705574
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,633 ANESTHESIOLOGY in IL
Provider Addresses for DR. SMITA VYAS (MD)
1005 Broadway St
Quincy, IL 623012834
Phone: (217) 223-1200
Fax: (217) 223-9552
Type: Location
1500 E MEDICAL CENTER DR
1H247, BOX 0048
ANN ARBOR, MI 481090999
Phone: (734) 936-4280
Fax: (734) 936-9091
Type: Mailing
1005 BROADWAY ST
QUINCY, IL 623012834
Phone: (217) 223-1200
Fax: (217) 223-9552
Type: Mailing
1302 FRANKLIN AVE
NORMAL, IL 617613551
Phone: (309) 268-5867
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090904000499 | I | Anesthesiology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | MI | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| Hospitalist, Family Practice | TX | |
| Clinical Psychologist | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | IL | |
| Diagnostic Radiology | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL |
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