Individual provider Active NPI

Jennifer C Simonaire, DO

  • Allergy Physician
  • Winfield, IL
National Provider Identifier
1790102176
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
036149621 Issued in IL
Practice address
0S036 Church St Ste 300
Winfield, IL 60190-1203
Phone
(331) 732-6300
Fax
(331) 732-6301
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0102205047 VA
Allergy Physician 207KA0200X 036149621 IL Primary

Addresses

Primary practice location

0S036 Church St Ste 300
Winfield, IL 60190-1203

Mailing address

0S036 Church St Ste 300
Winfield, IL 60190-1203
Phone (331) 732-6300

Other practice location 1

908 N Elm St Ste 205
Hinsdale, IL 60521-3637
Phone (630) 455-0456

Other practice location 2

1250 E. Marshall St.
Richmond, VA 23298
Phone (804) 628-5882

Other names 1

  • Jennifer Christine Heiden Former name

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
I20200902001664 IL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 2062716178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

0 S036 Church St
Winfield, IL 60190-1203

1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800

25 N Winfield Rd
Winfield, IL 60190-1295

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102205047VAMDAllergy & Immunology Physician
036149621ILMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Jan 1, 2023 Accepting new patients
Central Dupage Physician Group CurrentSince Jan 1, 2023 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 2

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 3

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1790102176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0S036 CHURCH ST STE 300",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901203",
            "telephone_number": "331-732-6300",
            "fax_number": "331-732-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0S036 CHURCH ST STE 300",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901203",
            "telephone_number": "331-732-6300",
            "fax_number": "331-732-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 N Elm St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213637",
            "country_code": "US",
            "telephone_number": "630-455-0456",
            "fax_number": "630-455-0626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E. Marshall St.",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23298",
            "country_code": "US",
            "telephone_number": "804-628-5882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONAIRE",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0102205047",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": "036149621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HEIDEN",
            "middle_name": "CHRISTINE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winfield, IL

Sources for this page

Verify at the official NPI Registry.