DR. MARINA SMIRNOV (MD) – Psychiatry Physician, NPI 1912135625

DR. MARINA SMIRNOV (MD) is a healthcare provider. based in Lake bluff, Illinois. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 036.124720 (IL). The NPI Number for DR. MARINA SMIRNOV (MD) is 1912135625

Main info

Female
Name
DR. MARINA SMIRNOV (MD)
NPI
1912135625
Phone
(847) 735-7276
Address
11204 W KOHL AVE
Enumeration Date
1 July 2009
Last Update Date
21 September 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARINA SMIRNOV (MD)

  • 11204, West Kohl Avenue, Lake Bluff, Lake County, Illinois, 60044, United States

    LAKE BLUFF, IL 600441310

    Phone: (847) 735-7276

    Type: Mailing

  • 819, Busse Highway, Park Ridge, Maine Township, Cook County, Illinois, 60068, United States

    PARK RIDGE, IL 600682360

    Phone: (847) 696-1570

    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: 2010-11-02

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
I20101102000066IPsychiatryILTBD

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

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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 60044)

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Reviews

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Frequently asked questions

What identifier follows DR. MARINA SMIRNOV (MD) across health systems?
The NPI 1912135625 uniquely identifies DR. MARINA SMIRNOV (MD) in U.S. healthcare data.
Is DR. MARINA SMIRNOV (MD)'s NPI status active today?
Active status means DR. MARINA SMIRNOV (MD)'s NPI record is not deactivated in the public file.
What services align with DR. MARINA SMIRNOV (MD)'s listing?
DR. MARINA SMIRNOV (MD)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARINA SMIRNOV (MD) tied to Lake Bluff, Illinois?
If you are local to Lake Bluff, Illinois, DR. MARINA SMIRNOV (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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