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

Q: 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.

Q: What is Wasim Khasawneh's specialty?

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

Q: 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.

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: August 16, 2026.

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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.

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

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Other Identifiers 2

Other000000964894IN · Anthem Provider Number

Medicaid201320950IN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

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)