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Mark Alan Smith, DPM

Podiatrist in Peoria, IL · enumerated 2006 · practices at Justin R. Ahlman, M.D..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093885378

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Registry record

Entity type Individual (Type 1)
Name Mark Alan Smith
Credential DPM
Sex Male
Practice address 3322 W Willow Knolls Dr, Peoria, IL, 61614
Phone (309) 691-5800
Fax (309) 691-1336
Enumeration date Nov 8, 2006
Last updated in NPPES Dec 3, 2009

Taxonomy & licenses

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 016004790 (IL) Primary
DPM · Doctor of Podiatric Medicine: A physician specializing in medical and surgical care of the foot and ankle. About the DPM credential

Other identifiers

Identifier Type State Issuer
016004790 Medicaid IL -
0007215174 Other IL BLUE CROSS BLUE SHIELD
928270 Other IL MEDICARE PROVIDER
480022534 Other IL RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mark Smith?
The National Provider Identifier (NPI) for Mark Smith is 1093885378, a Type 1 (individual) record in the CMS NPPES registry.
Where does Mark Smith practice?
The practice location on file with NPPES is in Peoria, IL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-03.