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JAYA WADHAWAN
NPI 1033603279
Pediatrics in Mankato, MN

Active since June 20, 2018PECOS Enrolled
1421 PREMIER DR, MANKATO, MN 56001(507) 625-1811(507) 345-1319 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2026, Mar 19, 2026, Jul 22, 2024 and 1 more (4 updates tracked since 2018).

About Jaya Wadhawan NPPES

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

JAYA WADHAWAN (NPI 1033603279) is an individual pediatrics provider in Mankato, Minnesota, licensed in Minnesota (81557) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1033603279
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJAYA WADHAWAN
Location Address1421 PREMIER DRMankato, MN 56001-6076
Mailing AddressPo Box 8674Mankato, MN 56002-8674 · (507) 389-8507 · Fax (507) 625-4754
Phone(507) 625-1811
Fax(507) 345-1319
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 20, 2018
Last NPPES UpdateApril 23, 20264 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1033603279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 81557
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1421 PREMIER DR, Mankato, MN 56001
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaya Wadhawan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507103785
PECOS Enrollment IDI20260303002778
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

RICHARD J PELLER MD
Family Medicine
1421 PREMIER DR, MANKATO CLINIC
MANKATO, MN 56001
Blue Earth County (507) 625-1811
ABBY JEAN BARLAMENT MSW, LICSW
Social Worker (Clinical)
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
SHIRLEY M ANDERSON MA CCCA
Audiologist
1421 PREMIER DR, MANKATO CLINIC AT WICKERSHAM CAMPUS
MANKATO, MN 56001
Blue Earth County (507) 625-1811
DARLA J WRAGE MD
Pediatrics
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
DR. COLIN W. WEERTS D.O.
Family Medicine
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1421 PREMIER DR, SUITE 100
MANKATO, MN 56001
Blue Earth County (507) 207-2700
DR. NATHANIEL LEE GRAHAM O.D.
Optometrist
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 385-4070
KATHERINE A. ANDERSON M.D.
Family Medicine
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811

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 Jaya Wadhawan's NPI number?

The NPI number for Jaya Wadhawan is 1033603279. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Jaya Wadhawan located?

Jaya Wadhawan practices at 1421 Premier Dr, Mankato, MN 56001. The listed phone number is (507) 625-1811.

What is Jaya Wadhawan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jaya Wadhawan enrolled in Medicare?

Yes. Jaya Wadhawan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaya Wadhawan was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.