SIMON WU MD LTD
NPI 1831187715
Family Medicine in Kankakee, IL

Q: What is Simon Wu MD Ltd's NPI number?

The NPI number for Simon Wu MD Ltd is 1831187715. It was assigned to this organization in the NPPES registry on October 13, 2005.

Q: What is Simon Wu MD Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Simon Wu MD Ltd was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 October 13, 2005

400 N WALL ST STE 303, KANKAKEE, IL 60901(815) 933-1664(815) 935-5660 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2024, Jul 23, 2024, Sep 12, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Simon Wu Md Ltd NPPES

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

SIMON WU MD LTD (NPI 1831187715) is a healthcare organization registered as a family medicine in Kankakee, Illinois and active in the NPI registry since October 2005. The organization lists Jennifer L Klinckman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1831187715

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSIMON WU MD LTD

Location Address400 N WALL ST STE 303Kankakee, IL 60901-2964

Mailing Address400 N Wall St Ste 303Kankakee, IL 60901-2964 · (815) 933-1664 · Fax (815) 935-5660

Phone(815) 933-1664

Fax(815) 935-5660

Organization SubpartNo

Authorized OfficialJennifer L KlinckmanOffice Manager · (815) 933-1664

Enumeration DateOctober 13, 2005

Last NPPES UpdateDecember 11, 20244 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1831187715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

400 N WALL ST STE 303, Kankakee, IL 60901

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon Wu Md Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Simon Wu MD Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Simon Wu, MD

Family Practice

NPI 1407044241

400 N WALL ST STE 303
Kankakee, IL 60901

(815) 933-1664

✔ PECOS✔ Accepts MedicareSame address

Source: 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 Simon Wu MD Ltd's NPI number?

The NPI number for Simon Wu MD Ltd is 1831187715. It was assigned to this organization in the NPPES registry on October 13, 2005.

Where is Simon Wu MD Ltd located?

Simon Wu MD Ltd is located at 400 N Wall St Ste 303, Kankakee, IL 60901. The listed phone number is (815) 933-1664.

What is Simon Wu MD Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Simon Wu MD Ltd enrolled in Medicare?

Yes. Simon Wu MD Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Simon Wu MD Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Simon Wu MD Ltd. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Simon Wu MD Ltd accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Simon Wu MD Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simon Wu MD Ltd was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.