SIMON K WU MD NPI 1407044241

NPI Information

  • NPI: 1407044241
  • Provider Name: SIMON K WU, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 14D0857949
  • Address: 400 N WALL ST STE 303
    KANKAKEE, IL
    ZIP 60901
  • Phone: (815) 933-1664

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NPI Details

Simon K Wu, MD is a family medicine in Kankakee, IL with 35 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Simon K Wu, MD NPI is 1407044241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

400 N WALL ST STE 303
KANKAKEE, IL
ZIP 60901-964
Phone: (815) 933-1664
Fax: (815) 935-5660

The NPI 1407044241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 14D0857949 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Hemoglobin a1c level, by device for home use (HCPCS:83037)
  • Automated urinalysis test (HCPCS:81003)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 10/5/2007 and was last updated on 12/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036089802ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036089802MEDICAIDILLINOIS
204623007OTHERBCBS OF ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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