NPIMap

Individual provider Active NPI

Irene I Wu, MD

  • Surgery Physician
  • Elgin, IL
National Provider Identifier
1447457692
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036.118716 Issued in IL
Practice address
163 S Randall Rd
Elgin, IL 60123-5551
Phone
(847) 406-1007
Fax
(847) 695-2377
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036.118716 IL Primary

Addresses

Primary practice location

163 S Randall Rd
Elgin, IL 60123-5551

Mailing address

163 S Randall Rd
Elgin, IL 60123-5551
Phone (847) 406-1007

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address irene.wu.1@26121.direct.athenahealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000582 IL Practitioner - General Surgery 9335209865 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northwestern University Feinberg Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Surgery and Wellness, PLLCGroup PAC ID 3779960968, 2 clinicians

Practice addresses (Care Compare)

165 S Randall Rd
Suite B
Elgin, IL 60123-5551
Phone (847) 406-1007

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy22
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.118716ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Mar 1, 2021 Accepting new patients
Dupage Medical Group LTD CurrentSince Mar 4, 2019 Accepting new patients
Advanced Surgery & Wellness, PLLC Surgery CurrentSince Mar 1, 2022 Accepting new patients
Dupage Medical Group LTD CurrentSince Mar 4, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 1, 2021 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

29373 Network Pl
Chicago, IL 60673

163 S Randall Rd
Elgin, IL 60123
Phone (847) 406-1007

165 S Randall Rd
Ste B
Elgin, IL 60123
Phone (847) 406-1007

1710 N Randall Rd
Ste 200
Elgin, IL 60123
Phone (847) 214-5738

2210 Dean St
Ste B
St Charles, IL 60175
Phone (630) 377-5300

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1447457692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 S RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235551",
            "telephone_number": "847-406-1007",
            "fax_number": "847-695-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 S RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235551",
            "telephone_number": "847-406-1007",
            "fax_number": "847-695-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "IRENE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.118716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irene.wu.1@26121.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "163 S Randall Rd",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601235551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.