MICHAEL J SMITH (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1861491599

MICHAEL J SMITH (M.D.) is a healthcare provider. based in Urbana, Illinois. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. 01063120 (IN). The NPI Number for MICHAEL J SMITH (M.D.) is 1861491599

Main info

Male
Name
MICHAEL J SMITH (M.D.)
NPI
1861491599
Phone
(217) 383-6941
Address
611 W PARK ST
Enumeration Date
15 July 2005
Last Update Date
23 March 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MICHAEL J SMITH (M.D.)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 618012529

    Phone: (217) 383-6941

    Mailing address matches the actual address.

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: 2016-12-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161230001626IEmergency MedicineILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 61801)

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Reviews

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Frequently asked questions

Can I verify MICHAEL J SMITH (M.D.) with an NPI only?
You can start verification with NPI 1861491599 for MICHAEL J SMITH (M.D.), then check state licensing separately.
Is MICHAEL J SMITH (M.D.) still practicing?
MICHAEL J SMITH (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes MICHAEL J SMITH (M.D.)?
For research purposes, treat MICHAEL J SMITH (M.D.) as Emergency Medical Services (Emergency Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MICHAEL J SMITH (M.D.) based?
MICHAEL J SMITH (M.D.) is tied to Urbana, Illinois in the data we show; additional addresses may exist on the full record.
Why does MICHAEL J SMITH (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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