Individual provider Active NPI

Wei Ming Sun, M.D.

  • Gastroenterology Physician
  • Elgin, IL
National Provider Identifier
1164487450
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
36115607 Issued in IL
Practice address
745 Fletcher Dr Ste 202
Elgin, IL 60123-4749
Phone
(847) 888-1300
Fax
(847) 888-1341
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 36115607 IL Primary

Addresses

Primary practice location

745 Fletcher Dr Ste 202
Elgin, IL 60123-4749

Mailing address

745 Fletcher Dr Ste 202
Elgin, IL 60123-4749
Phone (847) 244-6320

Other identifiers 2

IdentifierTypeStateIssuer
36115607MedicaidIL
P00320127OtherILRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wsun287582@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060425000273 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 6406866250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Gastroenterology Group LLCGroup PAC ID 5193857423, 116 clinicians

Practice addresses (Care Compare)

745 Fletcher Dr
Suite 202
Elgin, IL 60123-4749
Phone (847) 888-1300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.21 of 100Reported as group
Quality
67.65
Promoting interoperability
99
Improvement activities
40
Cost
80.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Upper gastrointestinal (GI) endoscopy for acid reflux50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36115607ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Gastroenterology Group, LLC Gastroenterology CurrentSince Jun 1, 2010 Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients

Locations

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

20 Tower Ct
Ste F
Gurnee, IL 60031
Phone (847) 662-9420

1555 N Barrington Rd
Ste 400
Hoffman Estates, IL 60169
Phone (847) 519-1600

165 N Lakewood Rd
Ste D
Lake in the Hills, IL 60156

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

2000 McDonald Rd
Ste 260
South Elgin, IL 60177

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1164487450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 FLETCHER DR STE 202",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234749",
            "telephone_number": "847-244-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 FLETCHER DR STE 202",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234749",
            "telephone_number": "847-888-1300",
            "fax_number": "847-888-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "WEI",
        "middle_name": "MING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "36115607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36115607",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00320127",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wsun287582@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "745 Fletcher Dr Ste 202",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "745 Fletcher Dr Ste 202",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.