DR. NITIN R WADHWANI M.D.
NPI 1427204056
Pathology - Anatomic Pathology & Clinical Pathology in Chicago, IL
NPI Status: Active since August 14, 2008
Contact Information
225 E CHICAGO AVE
LURIE CHILDREN'S HOSPITAL; BOX 17
CHICAGO, IL
ZIP 60611
Phone: (312) 227-3979
- Individual
- Male
- Pathology
- Anatomic Pathology & Clinical Pathology
- Accepts Insurance
- PECOS Enrolled
About NITIN WADHWANI
This page provides the complete NPI Profile along with additional information for Nitin Wadhwani, a provider established in Chicago, Illinois with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1427204056 assigned on August 2008. The practitioner's primary taxonomy code is 207ZP0102X with license number 125054256 (IL). The provider is registered as an individual and his NPI record was last updated April 2025.
- NPI
- 1427204056
- Provider Name
- DR. NITIN R WADHWANI M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 225 E CHICAGO AVE LURIE CHILDREN'S HOSPITAL; BOX 17 CHICAGO, IL 60611
- Location Phone
- (312) 227-3979
- Mailing Address
- 225 E CHICAGO AVE LURIE CHILDREN'S HOSPITAL; BOX 17 CHICAGO, IL 60611
- Mailing Phone
- (312) 227-3984
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-14-2008
- Last Update Date
- 04-14-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 125054256
- License State
- IL
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nitin Wadhwani is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60611 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.86
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. NITIN R WADHWANI M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 2 | 0 | 4 | 0 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 4 | 0 | 8 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 4 + 0 + 8 + 0 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1427204056 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DANA BRAZDZIUNAS MD
Pediatrics
(Developmental - Behavioral Pediatrics)
225 E CHICAGO AVE
BOX 16
CHICAGO, IL
ZIP 60611
DR. HELEN J BINNS MD MPH
Pediatrics
225 E CHICAGO AVE
BOX 157
CHICAGO, IL
ZIP 60611
DR. KELLY NICOLE MICHELSON MD MPH
Pediatrics
(Pediatric Critical Care Medicine)
225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
WILLIAM J REDA M.D.
Pediatrics
225 E CHICAGO AVE
BOX 152
CHICAGO, IL
ZIP 60611
DR. JAMI L JOSEFSON M.D.
Pediatrics
(Pediatric Endocrinology)
225 E CHICAGO AVE
BOX 54
CHICAGO, IL
ZIP 60611
DR. LINDSAY MARIE SKIBLEY M.D.
General Acute Care Hospital
(Children)
225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
MARTA PEREZ M.D.
Pediatrics
(Pediatric Critical Care Medicine)
225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
ANN AND ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO
Chronic Disease Hospital
(Children)
225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
MR. PIERRE MASSON CPO
Orthotist
225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
DR. NASER A ZAHRAN M.D.
Pediatrics
225 E CHICAGO AVE
OUTREACH PHYSICIAN SERVICES
CHICAGO, IL
ZIP 60611
DR. SARAH HLETKO DONAHUE MD
Pediatrics
(Neonatal-Perinatal Medicine)
225 E CHICAGO AVE
BOX 152
CHICAGO, IL
ZIP 60611
SUSAN J SHUMAKER CPNP
Nurse Practitioner
(Pediatrics)
225 E CHICAGO AVE
BOX 63
CHICAGO, IL
ZIP 60611
DR. JOEL EDWARD FRADER MD
Pediatrics
225 E CHICAGO AVE
GENERAL ACADEMIC PEDS, LURIE CHILDREN'S HOSPITAL #16
CHICAGO, IL
ZIP 60611
ANNE REDMOND SZMERGALSKI OTR/L
Occupational Therapist
(Pediatrics)
225 E CHICAGO AVE
BOX 142
CHICAGO, IL
ZIP 60611
ALANNA HIGGINS JOYCE MD, MPH
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
MARY KATHRYN PRAHL M.D.
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
ANN & ROBERT H. LURIE CHILDREN'S HOSPTIAL OF CHICAGO
General Acute Care Hospital
(Children)
225 E CHICAGO AVE
BOX 44
CHICAGO, IL
ZIP 60611
ANN & ROBERT H. LURIE CHILDRENS HOSPITAL OF CHICAGO
General Acute Care Hospital
(Children)
225 E CHICAGO AVE
BOX 44
CHICAGO, IL
ZIP 60611
MARIE ELIZABETH WEISSBOURD PH.D.
Psychologist
(Clinical)
225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
MARY ELIZABETH PETTINELLI LCSW
Social Worker
(Clinical)
225 E CHICAGO AVE
BOX 10
CHICAGO, IL
ZIP 60611
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427204056, enumerated as an "individual" on August 14, 2008.
The provider is located at 225 E CHICAGO AVE LURIE CHILDREN'S HOSPITAL; BOX 17 CHICAGO, IL 60611 and the phone number is (312) 227-3979.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to verify.
