Individual provider Active NPI

Hershel L Wix Jr., M.D.

  • Cardiovascular Disease Physician
  • Morris, IL
National Provider Identifier
1962457101
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036051497 Issued in IL
Practice address
151 W High St Lowr Level
Morris, IL 60450-1407
Phone
(815) 705-1000
Fax
(815) 705-2709
NPI assigned
May 24, 2006
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036051497 IL Primary

Addresses

Primary practice location

151 W High St Lowr Level
Morris, IL 60450-1407

Mailing address

21407 W County Rd
Wilmington, IL 60481-8746
Phone (815) 216-0186

Other practice location 1

1300 Starfire Dr
Ottawa, IL 61350-1619
Phone (815) 705-1000

Other identifiers 1

IdentifierTypeStateIssuer
036051497MedicaidIL

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
I20070516000418 IL Practitioner - Cardiovascular Disease (Cardiology) 0840397485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of North Carolina at Chapel Hill School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

1300 Starfire Dr a
Ottawa, IL 61350-1624
Phone (815) 324-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036051497ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince Aug 23, 2022 Accepting new patients
Morris Hospital CurrentSince Aug 23, 2022 Accepting new patients
Morris Hospital Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Heart Care Centers of Illinois, SC Cardiovascular Disease Past Accepting new patients

Locations

389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

1345 Edwards St
Ste 2
Morris, IL 60450
Phone (815) 705-1000

150 W High St
Morris, IL 60450
Phone (815) 942-2129

151 W High St
Lowr
Morris, IL 60450
Phone (815) 705-1000

725 School St
Ste A
Morris, IL 60450

1300 Starfire Dr
Ottawa, IL 61350
Phone (815) 324-9700

1300 Starfire Dr
Ste A
Ottawa, IL 61350
Phone (815) 324-9700

Interoperability endpoints

  • Direct secure messaging: hershel.wix@direct-address.org

Organizations & group practices 6

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1962457101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21407 W COUNTY RD",
            "city": "WILMINGTON",
            "state": "IL",
            "postal_code": "604818746",
            "telephone_number": "815-216-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W HIGH ST LOWR LEVEL",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501407",
            "telephone_number": "815-705-1000",
            "fax_number": "815-705-2709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Starfire Dr",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "IL",
            "postal_code": "613501619",
            "country_code": "US",
            "telephone_number": "815-705-1000",
            "fax_number": "815-705-2709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIX",
        "first_name": "HERSHEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036051497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051497",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.