Simon K Wu, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036089802 Issued in IL

Practice address

400 N Wall St Ste 303
Kankakee, IL 60901-2964

Phone

(815) 933-1664

Fax

(815) 935-5660

NPI assigned

Oct 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kwok Wai Wu Former name

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

Specialty

Family Practice

Education

Indiana University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Des Plaines, IL, CCN 147292
• R.M.C. Home Health Care Home health agency, Peotone, IL, CCN 147400
• Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
• Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJGAAA/Endpoint/CJGAAA

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

• Simon Wu MD LTD

  • Family Medicine Physician
  • Kankakee, IL
  • NPI 1831187715
  Medicare reassignment NPD

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

• Eh Home Health of the Midwest, LLC

  • Home Health Agency
  • Des Plaines, IL
  • NPI 1730632423
  Care Compare affiliation
• Riverside Medical Center

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1538208210
  Care Compare affiliation
• Riverside Medical Center

  • Home Health Agency
  • Peotone, IL
  • NPI 1740346451
  Care Compare affiliation
• St Marys Hospital - Kankakee LLC

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1467290809
  Care Compare affiliation

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1407044241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N WALL ST STE 303",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012964",
            "telephone_number": "815-933-1664",
            "fax_number": "815-935-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WALL ST STE 303",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012964",
            "telephone_number": "815-933-1664",
            "fax_number": "815-935-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "SIMON",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036089802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089802",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "04623007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KWOK",
            "last_name": "WU",
            "middle_name": "WAI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Lanier Wright, CPHT
• Deborah Wright, RN
• Jeremy R Wright, FNP-BC
• Sarah Elizabeth Wroblewski, LCSW
• Thomas A. Wroblewski, MD
• Wyellis Inc
• Yakos Therapy PC
• Maria Yakos, MHS, CCC-SLP
• Yalamanchili OBGYN SC
• David Yeung, M.D.

• Family Medicine Physician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.