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Deactivated NPI 1659338309 Deactivated / Inactive NPI Male Practitioner

Dr. Keith R Smith , MD

Internal Medicine • Decatur, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Keith Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 27, 2006
NPI Deactivation Date January 15, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Keith Smith, MD was a registered Internal Medicine practicing in Decatur, IL. Throughout an active medical career spanning 13 years, Dr. Smith provided care at the practice location at 304 W HAY ST until profile deactivation on 2019-01-15.

Historical Medicare Part B clinical services included established patient outpatient office visit, transitional care management services for problem of at least moderate complexity, aspiration and/or injection of fluid from large joint. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

304 W Hay St
Ste 312

Decatur, IL 625266328

Telephone 2178765600
Fax 2178765664
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.6 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Decatur, IL (7544 Statewide)

Telehealth Adoption Rate
10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
770 486 $153.09 $50.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
223 218 $235.77 $77.54
99495 Transitional care management services for problem of at least moderate complexity
30 29 $332.49 $108.87
20610 Aspiration and/or injection of fluid from large joint
21 14 $142.29 $41.26

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036074227

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Stephen Goetter , MD

Internal Medicine

NPI 1003872219

Doctor of Medicine (M.D.)

Dr. David Baumberger , MD

Internal Medicine

NPI 1043277064

Doctor of Medicine (M.D.)

Feras Shawish

Internal Medicine

NPI 1225786882
Dr. Leidhy Montecinos , MD

Student in an Organized Health Care Education/Training Program

NPI 1336875392

Doctor of Medicine (M.D.)

Dr. William Franklin , MD

Internal Medicine

NPI 1407813389

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 15, 2019

Record deactivated on January 15, 2019

NPI Profile Active September 04, 2014

NPI status registered as active in NPPES database

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Updated Practice Location September 04, 2014

Registered at 304 W HAY ST, STE 312, DECATUR, IL 625266328 (Tel: 2178765600)

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Updated Business Mailing Address September 04, 2014

Registered at 2300 N EDWARD ST, GSBLL, DECATUR, IL 625264163 (Tel: 2178762857)

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Provider Name / Credentials Updated September 04, 2014

Recorded as KEITH SMITH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2014

Internal Medicine (License #036074227 in IL)

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Initial NPI Registration & Enumeration April 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659338309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2006
Last Update: September 04, 2014
Deactivation Date: January 15, 2019

Mailing Address

2300 N Edward St, Gsbll

Decatur, IL 625264163

Phone: 2178762857

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.