Active NPI
Hershel L Wix Jr., M.D.
- Cardiovascular Disease Physician
- Morris, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036051497
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036051497 | Medicaid | IL |
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
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036051497 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | 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
- 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.
-
- General Practice Physician
- Morris, IL
- NPI 1558466268
-
dba Morris Hospital & Healthcare Centers
- General Practice Physician
- Channahon, IL
- NPI 1275648511
-
dba Morris Hospital & Healthcare Centers
- Health Service Clinic/Center
- Morris, IL
- NPI 1376658658
-
dba Morris Hospital & Healthcare Centers
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Cardiovascular Disease Physician
- Palos Park, IL
- NPI 1508810086
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morris Hospital & Healthcare Centers
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.