Susan S Wu, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036109858 Issued in IL

Practice address

304 W Hay St
Suite 218
Decatur, IL 62526-6328

Phone

(217) 877-2088

Fax

(217) 877-3622

NPI assigned

Mar 3, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Sex

Female

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 1

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

Physical Medicine and Rehabilitation

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135
• Memorial Medical Center Hospital, Springfield, IL, CCN 140148

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susanwu@memorial.allscriptsdirect.net

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.

• Decatur Memorial Hospital

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1164477725
  Medicare reassignment Care Compare group NPD
• Orthopaedic and Rehabilitation Specialists of Central Illinois

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Decatur, IL
  • NPI 1902989379

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Dolly Briscoe Enterprises, Inc.

  dba Physician's Choice Wellness

  • Health Educator
  • Mt Zion, IL
  • NPI 1447555685
  Medicare reassignment
• Decatur Memorial Hospital

  dba Professional Fees

  • Multi-Specialty Clinic/Center
  • Decatur, IL
  • NPI 1477276301
  NPD
• Memorial Health Partners

  • Family Medicine Physician
  • Springfield, IL
  • NPI 1376034744
  NPD
• Orthopaedic Center of Southern Illinois, LTD.

  • Durable Medical Equipment & Medical Supplies
  • Mount Vernon, IL
  • NPI 1669943882
  NPD (past)
• Orthopaedic Center of Southern Illinois, LTD.

  • Orthopaedic Surgery Physician
  • Centralia, IL
  • NPI 1932432143
  NPD (past)
• Springfield Clinic, LLP

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1780638478
  NPD (past)

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

• Decatur Memorial Hospital

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1548357973
  Care Compare affiliation
• Memorial Medical Center

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1255317590
  Care Compare affiliation

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1639146111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W HAY ST",
            "address_2": "SUITE 218",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266328",
            "telephone_number": "217-877-2088",
            "fax_number": "217-877-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W HAY ST",
            "address_2": "SUITE 218",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266328",
            "telephone_number": "217-877-2088",
            "fax_number": "217-877-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "SUSAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036109858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109858",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Wright, LMT
• James V Wright, PA-C
• Marva Wright
• Aaron Wrigley
• Ashley Wrigley, RN, MSN, AGACNP-BC
• Heather Kay Yacko, M.S. R.D. L.D.N
• Hannah Hewon Yasunaga, DDS
• Joey D Yates, COTA/L
• Desiray Joyce Yeaw, MS, RD, LDN
• Sandy L Yockey, MD

• Physical Medicine & Rehabilitation Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.