BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI 1396097960
Clinic/Center - Primary Care in Springfield, IL
About Board Of Trustees Of Southern Illinois University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY (NPI 1396097960), doing business as Siu Center For Family Medicine, is a healthcare organization registered as a primary care in Springfield, Illinois and active in the NPI registry since October 2012. The organization lists Iris Wesley, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Board Of Trustees Of Southern Illinois University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
261Medicare enrollment records show 261 clinicians reassign Medicare billing to Board Of Trustees Of Southern Illinois University, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 131 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 261Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Board Of Trustees Of Southern Illinois University's NPI number?
The NPI number for Board Of Trustees Of Southern Illinois University is 1396097960. It was assigned to this organization in the NPPES registry on October 8, 2012. The provider is doing business as Siu Center For Family Medicine.
Where is Board Of Trustees Of Southern Illinois University located?
Board Of Trustees Of Southern Illinois University is located at 520 N 4th St, Springfield, IL 62702. The listed phone number is (217) 757-8100.
What is Board Of Trustees Of Southern Illinois University's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Board Of Trustees Of Southern Illinois University enrolled in Medicare?
Yes. Board Of Trustees Of Southern Illinois University is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Board Of Trustees Of Southern Illinois University?
According to the CMS Revalidation Reassignment List (October 2026 release), 261 clinicians in 17 Medicare specialties reassign their Medicare billing to Board Of Trustees Of Southern Illinois University. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (93), Nurse Practitioner (44) and Internal Medicine (33). Of these, 5 practice at this address and 131 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Board Of Trustees Of Southern Illinois University was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Board Of Trustees Of Southern Illinois University · NPI 1396097960
Primary Care organization in Springfield, Illinois. Organization record, active in the CMS NPPES registry since October 8, 2012.
## Identity
- **NPI:** 1396097960 (Entity type: Organization)
- **Enumerated:** October 8, 2012
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** SIU CENTER FOR FAMILY MEDICINE (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Iris Wesley, CEO
## Practice location
- **Address:** 520 N 4TH ST, Springfield, IL 62702-5238
- **Phone:** (217) 757-8100 · **Fax:** (217) 747-1351
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 261 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (93), Nurse Practitioner (44), Internal Medicine (33); 5 practice at this address and 131 within 10 miles; [full list](https://npiprofile.com/npi/1396097960/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396097960) · Data from the CMS NPPES public registry.