WONIL TAE MD
NPI 1336301779
Internal Medicine - Endocrinology, Diabetes & Metabolism in Alton, IL

Q: What is Wonil Tae's NPI number?

The NPI number for Wonil Tae is 1336301779. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Q: What is Wonil Tae's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Wonil Tae was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment

2 SAINT ANTHONYS WAY, ALTON, IL 62002(618) 642-2222 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wonil Tae Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WONIL TAE MD (NPI 1336301779) is an individual endocrinology, diabetes & metabolism provider in Alton, Illinois, licensed in Illinois (036121542) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1336301779

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameWONIL TAECredential: MD

Location Address2 SAINT ANTHONYS WAYAlton, IL 62002-4569

Mailing Address2 Saint Anthonys WayAlton, IL 62002-4569 · (618) 642-2222

Phone(618) 642-2222

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJune 26, 2008

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1336301779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in IL · 036121542

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 30927 (AL), 036121542 (IL)

2 SAINT ANTHONYS WAY, Alton, IL 62002

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Other Identifiers 1

Other511-15246AL · Bcbs Al

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wonil Tae Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416002035

PECOS Enrollment IDI20160520001695

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

462 services219 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

385 services190 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

179 services125 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

80 services46 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

55 services55 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140002

LocationOne Memorial DriveAlton, IL 62002 · Madison County

Emergency services Birthing friendly

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140052

LocationSt Anthony's WayAlton, IL 62002 · Madison County

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140059

Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

25 suppliers213 claims1,047 services$6.12 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

17 suppliers66 claims151 services$1.01 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

4 suppliers11 claims1,300 services$7.63 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

14 suppliers330 claims330 services$185.12 avg. paid by Medicare

Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554

DME-Other DME · category DE017N

7 suppliers20 claims20 services$194.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD B BLAIR JR. M.D.

Internal Medicine

2 SAINT ANTHONYS WAY, SUITE 205
ALTON, IL 62002

Madison County (618) 462-2222

PHILIP D KANNEL DO

Otolaryngology

2 SAINT ANTHONYS WAY, SUITE 305
ALTON, IL 62002

Madison County (618) 462-2277

DR. JOHN EDWARD LINDSAY D.P.M.

Podiatrist (Foot & Ankle Surgery)

2 SAINT ANTHONYS WAY, SUITE 305
ALTON, IL 62002

Madison County (618) 463-0227

ALICE MARIE HUTCHASON FNP

Nurse Practitioner (Family)

2 SAINT ANTHONYS WAY
ALTON, IL 62002

Madison County (618) 474-6233

KATE A SMITH MPAS

Physician Assistant

2 SAINT ANTHONYS WAY, SUITE 305
ALTON, IL 62002

Madison County (618) 465-9024

DR. KEVIN D BOYD D.O.

Family Medicine

2 SAINT ANTHONYS WAY, SUITE 205
ALTON, IL 62002

Madison County (618) 462-2222

DR. CLIFFORD GLENN MARTIN M.D.

Obstetrics & Gynecology

2 SAINT ANTHONYS WAY
ALTON, IL 62002

Madison County (618) 462-2222

DR. LAWRENCE G BURCH M.D.

Internal Medicine

2 SAINT ANTHONYS WAY, SUITE 205
ALTON, IL 62002

Madison County (618) 465-8019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wonil Tae's NPI number?

The NPI number for Wonil Tae is 1336301779. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Wonil Tae located?

Wonil Tae practices at 2 Saint Anthonys Way, Alton, IL 62002. The listed phone number is (618) 642-2222.

What is Wonil Tae's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Wonil Tae enrolled in Medicare?

Yes. Wonil Tae is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Wonil Tae affiliated with any hospitals?

According to CMS data, Wonil Tae is affiliated with Alton Memorial Hospital, Osf Saint Anthony's Health Center and Jersey Community Hospital.

When was this NPI record last updated?

The NPPES record for Wonil Tae was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.