Active NPI
Jennifer C Simonaire, DO
- Allergy Physician
- Winfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 036149621
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- 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
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
- Northwestern Medicine Delnor Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0102205047 | VA | MD | Allergy & Immunology Physician |
| 036149621 | IL | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | 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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.