NPIMap

Individual provider Active NPI

Simone Wall Borges-Young, M.D.

  • Internal Medicine Physician
  • Springfield, IL
National Provider Identifier
1871554915
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036091751 Issued in IL
Practice address
1100 E Lincolnshire Blvd
Suite 200
Springfield, IL 62703-5949
Phone
(217) 789-1403
Fax
(217) 529-1729
NPI assigned
Mar 29, 2006
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036091751 IL
Internal Medicine Physician 207R00000X 036091751 IL Primary

Addresses

Primary practice location

1100 E Lincolnshire Blvd
Suite 200
Springfield, IL 62703-5949

Mailing address

1100 E Lincolnshire Blvd
Suite 200
Springfield, IL 62703-5949
Phone (217) 789-1403

Other names 1

  • Simone Turner Former name

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
I20060131000286 IL Practitioner - Internal MedicinePractitioner - Emergency Medicine 8820002736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3333 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.51 of 100Reported as group
Quality
49.04
Promoting interoperability
95
Improvement activities
40
Cost
69.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036091751ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince May 1, 2023 Accepting new patients
App of Illinois Ed PLLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince May 1, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Internal Medicine Current Accepting new patients
Midwest Emergency Department Specialists LTD Emergency Medicine Past Accepting new patients
Deaconess Illinois Clinic, Inc Past Accepting new patients
HSHS Prairie, Inc PastSince Mar 24, 2025 Accepting new patients
Memorial Expresscare, LLC Emergency Medicine Past Accepting new patients
Memorial Health Ventures Past Accepting new patients

Locations

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

Interoperability endpoints

  • Direct secure messaging: sborgesy@yourcarecommunity.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1871554915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E LINCOLNSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035949",
            "telephone_number": "217-789-1403",
            "fax_number": "217-529-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E LINCOLNSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035949",
            "telephone_number": "217-789-1403",
            "fax_number": "217-529-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGES-YOUNG",
        "first_name": "SIMONE",
        "middle_name": "WALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036091751",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036091751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMONE",
            "last_name": "TURNER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.