TRAVIS R SMITH PA-C
NPI 1619176021
Physician Assistant - Surgical in Chicago, IL

NPI Status: Active since July 16, 2007

Contact Information

1611 W HARRISON ST
STE 400
CHICAGO, IL
ZIP 60612
Phone: (312) 243-4244
Fax: (312) 942-1517

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  • Individual
  • Male
  • Years of Experience 19
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TRAVIS SMITH

This page provides the complete NPI Profile along with additional information for Travis Smith, a provider established in Chicago, Illinois with a medical specialization in Physician Assistant, focusing in surgical and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1619176021 assigned on July 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 085002991 (IL). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1619176021
Provider Name
TRAVIS R SMITH PA-C
Gender
Male
Entity Type
Individual
Location Address
1611 W HARRISON ST STE 400 CHICAGO, IL 60612
Location Phone
(312) 243-4244
Location Fax
(312) 942-1517
Mailing Address
1 WESTBROOK CORPORATE CTR #240 WESTCHESTER, IL 60154
Mailing Phone
(708) 236-2673
Mailing Fax
(312) 942-1517
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
07-16-2007
Last Update Date
11-24-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
085002991
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
K40143MEDICARE PIN (08)IL 
K40144MEDICARE PIN (08)IL 
209119OTHER (01)ILMEDICARE PTAN LOCALITY 16
209118OTHER (01)ILMEDICARE PTAN LOCALITY 15

Medicare Participation & PECOS Enrollment Status

Travis Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Travis Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 547352908

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070815000721, I20171018000779

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for TRAVIS R SMITH PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619176021
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629271204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 2 + 7 + 1 + 2 + 0 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1619176021 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235138546DR. THOMAS J NIELSEN M.D.
Individual
Otolaryngology1611 W HARRISON ST SUITE 550
CHICAGO, IL 60612
(312) 942-6100
1154309110 GUNNAR B.J. ANDERSSON MD
Individual
Orthopaedic Surgery1611 W HARRISON ST STE 400
CHICAGO, IL 60612
(312) 243-4244
1982683694DR. RICHARD A BERGER M.D.
Individual
Orthopaedic Surgery1611 W HARRISON ST STE 400
CHICAGO, IL 60612
(312) 243-4244
1275512964DR. AARON G ROSENBERG M.D.
Individual
Orthopaedic Surgery1611 W HARRISON ST STE 400
CHICAGO, IL 60612
(312) 243-4244
1811964679DR. DAVID FAVREAU FARDON M.D.
Individual
Orthopaedic Surgery1611 W HARRISON ST STE 400
CHICAGO, IL 60612
(312) 243-4244
1710934062 JOCELYN A. SHOOK P.A.
Individual
Physician Assistant (Surgical)1611 W HARRISON ST STE 400
CHICAGO, IL 60612
(312) 243-4244
1629025978 LAUREN E MAZUR PA-C
Individual
Physician Assistant (Surgical)1611 W HARRISON ST STE 400
CHICAGO, IL 60612
(312) 243-4244
1144245994 SCOTT B PALMER MD
Individual
Internal Medicine1611 W HARRISON ST SUITE 212
CHICAGO, IL 60612
(312) 942-4040
1184630923MS. MARIA TROGRANCIC FERRO PA-C
Individual
Physician Assistant (Surgical)1611 W HARRISON ST SUITE 400
CHICAGO, IL 60612
(312) 243-4244
1720177017 NATALIE J. PODBOY PA-C
Individual
Physician Assistant (Surgical)1611 W HARRISON ST STE 400
CHICAGO, IL 60612
(312) 243-4244
1124101548RUSH OTOLARYNGOLOGY HEAD AND NECK SURGERY
Organization
Otolaryngology1611 W HARRISON ST SUITE 550
CHICAGO, IL 60612
(312) 942-6100
1801954490 ALLISON TERRY PA-C
Individual
Physician Assistant (Surgical)1611 W HARRISON ST STE 400
CHICAGO, IL 60612
(312) 243-4244
1841341179DR. GEORGE J KOURIS M.D.
Individual
Plastic Surgery1611 W HARRISON ST 212
CHICAGO, IL 60612
(312) 432-2850
1285767020 DAVID DONALD CALDARELLI MD
Individual
Otolaryngology1611 W HARRISON ST SUITE 550
CHICAGO, IL 60612
(312) 942-6100
1487774048ALLAN J SHOELSON, DPM, PC
Organization
Podiatrist (Foot & Ankle Surgery)1611 W HARRISON ST SUITE 510
CHICAGO, IL 60612
(312) 563-2800
1124232137 PHILLIP S. LOSAVIO
Individual
Otolaryngology1611 W HARRISON ST SUITE 550
CHICAGO, IL 60612
(312) 942-6100
1912198763INTERNAL MEDICINE AT RUSH
Organization
Internal Medicine1611 W HARRISON ST SUITE 510
CHICAGO, IL 60612
(312) 563-4060
1871773291 SONALI KHANDELWAL M.D.
Individual
Internal Medicine (Rheumatology)1611 W HARRISON ST SUITE 510
CHICAGO, IL 60612
(312) 563-2800
1043492671GEORGE KOURIS MD SC
Organization
Plastic Surgery1611 W HARRISON ST 212
CHICAGO, IL 60612
(312) 432-2850
1407031123MS. CATHERINE E STEGEMANN PT
Individual
Physical Therapist1611 W HARRISON ST SUITE 107
CHICAGO, IL 60612
(312) 432-2513

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619176021, enumerated in the NPI registry as an "individual" on July 16, 2007

The provider is located at 1611 W Harrison St Ste 400 Chicago, Il 60612 and the phone number is (312) 243-4244

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider has more than 19 years of experience.

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on July 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.