Smita Kumar, M.D.
NPI 1578981544 · Endocrinology, Diabetes & Metabolism Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Smita Kumar, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Chicago, IL (NPI 1578981544).
Provider details
- NPI number
- 1578981544
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036.142794 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
268 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 94 | $97 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 43 | $78 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 39 | $34 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 26 | $16 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 22 | $133 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tirzepatidebrand: Mounjaro | 141 | 24 |
| Semaglutidebrand: Ozempic | 130 | 20 |
| Levothyroxine Sodium | 101 | 36 |
| Dulaglutidebrand: Trulicity | 67 | 17 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 46 | 16 |
| Empagliflozinbrand: Jardiance | 29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$403 across 16 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 251 E Huron St Ste 3-150Chicago, IL 60611-2908Phone: (312) 926-4118
- 200 Lothrop StSuite N-715Pittsburgh, PA 15213-2536Phone: (412) 692-4700
Registry dates
- Enumerated
- 2014-04-06
- Last updated
- 2022-07-21
- Certified
- 2022-04-08
Frequently asked questions
- What is Smita Kumar's NPI number?
- Smita Kumar's National Provider Identifier (NPI) is 1578981544, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Smita Kumar's specialty?
- Smita Kumar is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Smita Kumar located?
- Smita Kumar's practice location on file with NPPES is 675 N Saint Clair St Ste 14-100, Chicago, IL 60611-5966.
- What is Smita Kumar's phone number?
- The practice phone number listed in the NPPES registry for Smita Kumar is (312) 695-7970.
- Does Smita Kumar accept Medicare?
- Smita Kumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Smita Kumar's NPI active?
- Yes — Smita Kumar's NPI (1578981544) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.