Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelley Scott Bond Smith, MD

Individual provider Emergency Medicine Physician · NPI 1992099212

Dr. Kelley Scott Bond Smith, MD is an Emergency Medicine in Peoria, Illinois. Graduated from Indiana University School of Medicine in 2011, 15 years ago. Practices with Professional Emergency Physicians PC, a 75-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Trained at
Indiana University School of Medicine
Licensed in
IL
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125.059413 (IL)

Record details

NPI number1992099212
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2011
Last updated in NPPESJune 3, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Professional Emergency Physicians Pc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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