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WASIM A KHASAWNEH MD
NPI 1508054446
Pediatrics - Neonatal-Perinatal Medicine in Lafayette, IN

Active since October 04, 2007PECOS Enrolled
2600 GREENBUSH ST, LAFAYETTE, IN 47904(765) 448-8000(765) 488-8564 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wasim A Khasawneh Md NPPES

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

WASIM A KHASAWNEH MD (NPI 1508054446) is an individual neonatal-perinatal medicine provider in Lafayette, Indiana, licensed in Indiana (01075923A) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508054446
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameWASIM A KHASAWNEHCredential: MD
Location Address2600 GREENBUSH STLafayette, IN 47904-2477
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(765) 448-8000
Fax(765) 488-8564
Sole ProprietorNo
Enumeration DateOctober 4, 2007
Last NPPES UpdateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1508054446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IN · 01075923A
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 35.098001 (OH), 01075923A (IN), 57012659 (OH)
2600 GREENBUSH ST, Lafayette, IN 47904
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19500 Euclid AveCleveland, OH 44195-0001 · Phone (216) 444-5510
Location 22651 E Discovery PkwyBloomington, IN 47408-9059 · Phone (812) 353-9852 · Fax (812) 353-9278

Other Identifiers 2

Other000000964894IN · Anthem Provider Number
Medicaid201320950IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wasim A Khasawneh Md 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Wasim Khasawneh reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arnett Clinic, LLC
Same address
Clinical Medical Laboratory
2600 GREENBUSH ST
Lafayette, IN 47904
  • Reassigned Medicare billing, Indiana enrollment
  • 671 clinicians in this Medicare group
NPI 1881655090 (765) 448-8000
Iu Health Medical Group Riley Specialists, LLC
58 mi
Pediatrics
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 523 clinicians in this Medicare group
NPI 1699561480 (317) 944-5000
The Methodist Hospitals, Inc.
75 mi
Orthopaedic Surgery
101 E 87TH AVE
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 201 clinicians in this Medicare group
NPI 1518295948 (219) 738-6670
Indiana University Health Southern Indiana Physicians, LLC
86 mi
Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group
NPI 1013953983 (812) 353-5252

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MICHELLE B HERBERTS MD
Internal Medicine (Critical Care Medicine)
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
KATHRYN LOUISE STUCKER MD
Student in an Organized Health Care Education/Training Program
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
ROGER E. BROWN CRNA
Nurse Anesthetist, Certified Registered
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
DR. DAVID W KELLEY D.O.
Anesthesiology
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
DR. CARLOS SALAZAR CARCAMO M.D.
Internal Medicine
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
CARLOS A GAMBIRAZIO MD
Internal Medicine
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
HAILEY C SMALL MS CF-SLP
Speech-Language Pathologist
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
MRS. ERIN WRIGHT RDN, CD
Dietitian, Registered
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000

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 Wasim Khasawneh's NPI number?

The NPI number for Wasim Khasawneh is 1508054446. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Wasim Khasawneh located?

Wasim Khasawneh practices at 2600 Greenbush St, Lafayette, IN 47904. The listed phone number is (765) 448-8000.

What is Wasim Khasawneh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Wasim Khasawneh enrolled in Medicare?

Yes. Wasim Khasawneh is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wasim Khasawneh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wasim Khasawneh reassigns Medicare benefits to 4 organizations: Arnett Clinic, LLC (Lafayette, IN), Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN), The Methodist Hospitals, Inc. (Merrillville, IN) and Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN). Each 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 Wasim Khasawneh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wasim Khasawneh accept?

Health plans from CareSource and Cigna Healthcare list Wasim Khasawneh 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 Wasim Khasawneh was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.