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WAJDEY NESHEIWAT PA-C
NPI 1063279917
Physician Assistant - Surgical in Evanston, IL

Active since March 06, 2024PECOS EnrolledAccepts Medicare Assignment
2650 RIDGE AVE., DEPT. OF SURGERY WALGREEN 2507, EVANSTON, IL 60201(847) 570-2560(847) 570-2930 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2024, Mar 6, 2024 (2 updates tracked since 2024).

About Wajdey Nesheiwat Pa-c NPPES

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

WAJDEY NESHEIWAT PA-C (NPI 1063279917) is an individual surgical provider in Evanston, Illinois, licensed in Illinois (085010519) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063279917
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameWAJDEY NESHEIWATCredential: PA-C
Location Address2650 RIDGE AVE., DEPT. OF SURGERY WALGREEN 2507Evanston, IL 60201-1718
Mailing Address2650 Ridge Ave., Dept. Of Surgery Walgreen 2507Evanston, IL 60201-1718 · (847) 570-2560 · Fax (847) 570-2930
Phone(847) 570-2560
Fax(847) 570-2930
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 6, 2024
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1063279917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085010519
2650 RIDGE AVE., Evanston, IL 60201
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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 and accepts Medicare assignment

Wajdey Nesheiwat Pa-c 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 ID2567902398
PECOS Enrollment IDI20240909000414
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.

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

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.

JAMES FRANCIS KELLY DO
Hospitalist
2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201
Cook County (847) 570-1010
DR. MARY TILLEY JENKINS VOGEL MD
Obstetrics & Gynecology (Gynecologic Oncology)
2650 RIDGE AVE., KELLOGG CANCER CENTER
EVANSTON, IL 60201
Cook County (847) 570-2639
BHAVIK KHAJURIA
Radiology (Diagnostic Radiology)
2650 RIDGE AVE., DEPT. OF RADIOLOGY
EVANSTON, IL 60201
Cook County (847) 570-2477
AYMAN NAJIB MD
Hospitalist
2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201
Cook County (847) 570-1010
MATTHEW JOSEPH SADLOWSKY APN-CRNA
Nurse Anesthetist, Certified Registered
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA
EVANSTON, IL 60201
Cook County (847) 570-2760
KYLE PETTY MD
Anesthesiology
2650 RIDGE AVE., DEPT. OF ANESTHESIA
EVANSTON, IL 60201
Cook County (847) 570-2760
TAE YEON KIM MD
Hospitalist
2650 RIDGE AVE., PEDIATRIC HOSPITALISTS
EVANSTON, IL 60201
Cook County (847) 570-1027
TYLER PATRICK DOUGAN APN-CRNA
Nurse Anesthetist, Certified Registered
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA
EVANSTON, IL 60201
Cook County (847) 570-2760

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 Wajdey Nesheiwat's NPI number?

The NPI number for Wajdey Nesheiwat is 1063279917. It was assigned to this individual provider in the NPPES registry on March 6, 2024.

Where is Wajdey Nesheiwat located?

Wajdey Nesheiwat practices at 2650 Ridge Ave. Dept. Of Surgery Walgreen 2507, Evanston, IL 60201. The listed phone number is (847) 570-2560.

What is Wajdey Nesheiwat's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Wajdey Nesheiwat enrolled in Medicare?

Yes. Wajdey Nesheiwat 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 Wajdey Nesheiwat affiliated with any hospitals?

According to CMS data, Wajdey Nesheiwat is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Wajdey Nesheiwat was last updated on September 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.