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CHRISTIAN SAMUEL WIRAWAN DO
NPI 1386394575
Internal Medicine in Chicago, IL

Active since March 28, 2022PECOS Enrolled
1401 S CALIFORNIA AVE, CHICAGO, IL 60608(773) 565-3008 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Christian Samuel Wirawan Do NPPES

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

CHRISTIAN SAMUEL WIRAWAN DO (NPI 1386394575) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125.079572) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386394575
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHRISTIAN SAMUEL WIRAWANCredential: DO
Location Address1401 S CALIFORNIA AVEChicago, IL 60608-1694
Mailing Address1401 S California Ave Ste 1Chicago, IL 60608-1694 · (737) 565-3008 · Fax (773) 522-5855
Phone(773) 565-3008
Sole ProprietorNo
Enumeration DateMarch 28, 2022
Last NPPES UpdateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1386394575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125.079572
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 036.171642 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1401 S CALIFORNIA AVE, Chicago, IL 60608
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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)

Christian Samuel Wirawan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60608 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

MARGARET WIEDT OTD, OTR/L
Occupational Therapist
1401 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 522-2010
GINA M WALTON MD
Physical Medicine & Rehabilitation
1401 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 565-3251
STEPHANI KOHLS PT, DPT
Physical Therapist
1401 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 522-2010
NICOLE JANA HUGHES
Physical Therapist
1401 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 522-2010
KELLY ARORA
Occupational Therapist
1401 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 522-2010
PEICHEN JESSIE KIM P.T., A.T.P.-S.M.S.
Physical Therapist
1401 S CALIFORNIA AVE, ROOM 1701
CHICAGO, IL 60608
Cook County (773) 522-2010
MRS. SHANNON ALLISON
Specialist/Technologist (Speech-Language Assistant)
1401 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 522-2010
LISA MARIE BIEWER PT
Physical Therapist
1401 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 522-2010

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 Christian Wirawan's NPI number?

The NPI number for Christian Wirawan is 1386394575. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Christian Wirawan located?

Christian Wirawan practices at 1401 S California Ave, Chicago, IL 60608. The listed phone number is (773) 565-3008.

What is Christian Wirawan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Christian Wirawan enrolled in Medicare?

Yes. Christian Wirawan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christian Wirawan was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.