Phillip C Wu, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Practice address

500 Davis St
Suite 810
Evanston, IL 60201-4668

Phone

(847) 424-1100

Fax

(847) 864-6138

NPI assigned

Jan 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Ophthalmology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suburban Eyes Clinic, LLCGroup PAC ID 8628158011, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospital of Chicago Hospital, Chicago, IL, CCN 140197

Merit-based Incentive Payment System (MIPS)

Final score

93.35 of 100Reported as individual

Quality

100

Promoting interoperability

99

Improvement activities

40

Cost

78.67

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Suburban Eyes Clinic, LLC

  • Ophthalmology Physician
  • Evanston, IL
  • NPI 1982886883
  Medicare reassignment Care Compare group NPD Authorized official
• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  Ophthalmology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1891755351
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1962481598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DAVIS ST",
            "address_2": "SUITE 810",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014668",
            "telephone_number": "847-424-1100",
            "fax_number": "847-864-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DAVIS ST",
            "address_2": "SUITE 810",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014668",
            "telephone_number": "847-424-1100",
            "fax_number": "847-864-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "PHILLIP",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0031600193",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00147750",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID",
            "identifier": "1638347",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0707260001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Maya Wright, PA-C
• Jennifer Wright, BS
• Lydia Wright, MS, ATC
• Miriam Wright
• Renee Backes Wright, MSW, LCSW
• Raymond Wu, M.D.
• Yu Wu, MD
• Melissa Sue Wuelser, ATC
• Mary Wylie
• Ilene Terri Wynn, R.D., L.D.N.

• Ophthalmology Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.

Verify at the official NPI Registry.