Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shani Kamaria Smith, DO, MBA

Individual provider Emergency Medicine Physician · NPI 1659674240

Shani Kamaria Smith, DO, MBA is a Critical Care (Intensivists) in Olympia Fields, Illinois. Graduated from Philadelphia College of Osteopathic Medicine in 2007, 19 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
IL
In the registry since
2010
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

3700 W 203rd St Ste 204
Olympia Fields, IL 60461-1182
Phone: (708) 709-6295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 917 W Washington Blvd, Chicago, IL 60607-2203 — (555) 555-5555

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036.130820 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036.130820 (IL)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 036.130820 (IL)

Record details

NPI number1659674240
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO , MBA
Sole proprietorNo
NPI enumeratedDecember 21, 2010
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2007 (19 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Olympia Fields