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WALDEMAR NOWAK M.D.
NPI 1619256534
Psychiatry & Neurology - Neurology in Plainfield, IL

Active since August 09, 2011PECOS EnrolledAccepts Medicare Assignment
24600 W 127TH ST # 205, PLAINFIELD, IL 60585(815) 731-9120 Get Directions Write a Review

NPPES record last updated: December 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2022, Jul 21, 2022, Apr 8, 2021 and 6 more (9 updates tracked since 2017).

About Waldemar Nowak M.d. NPPES

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

WALDEMAR NOWAK M.D. (NPI 1619256534) is an individual neurology provider in Plainfield, Illinois, licensed in Illinois (036.142388) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619256534
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameWALDEMAR NOWAKCredential: M.D.
Location Address24600 W 127TH ST # 205Plainfield, IL 60585-9507
Mailing Address2272 95th St Ste 120Naperville, IL 60564-8944 · (708) 665-2118 · Fax (708) 665-2035
Phone(815) 731-9120
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 9, 2011
Last NPPES UpdateDecember 4, 20229 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2022
✔ NPI 1619256534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in IL · 036.142388✔ Licensed in IA · R-9309✔ Licensed in FL · ME137743✔ Licensed in IA · MD-42658
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedHospitalistTaxonomy 208M00000X · License ME137743 (FL)
24600 W 127TH ST # 205, Plainfield, IL 60585
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1200 Hawkins Drive, UIHC Neurology, RCPIowa City, IA 52242-1009 · Phone (319) 356-2256 · Fax (319) 384-8476
Location 29090 SW 87th Ct Ste 200Miami, FL 33176-2317 · Phone (305) 596-2080 · Fax (305) 596-0657
Location 33000 N Halsted St Ste 703Chicago, IL 60657-5196 · Phone (773) 296-6666

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Waldemar Nowak M.d. 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 ID2062705601
PECOS Enrollment IDI20170718000610
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

6

Medicare enrollment records show Waldemar Nowak reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward Health Ventures
0.1 mi
Neurological Surgery
24600 W 127TH ST, STE B205
Plainfield, IL 60585
  • Reassigned Medicare billing, Illinois enrollment
  • 561 clinicians in this Medicare group
NPI 1043632136 (815) 731-9120
Edward Hospital
8.3 mi
General Acute Care Hospital
801 S WASHINGTON ST
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 268 clinicians in this Medicare group
NPI 1013969013 (630) 655-0450
Advocate Health And Hospitals Corporation
16 mi
Cardiovascular Disease
3825 HIGHLAND AVE, TOWER 2 SUITE 400
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1285903849 (630) 719-4799
Elmhurst Memorial Hospital
20 mi
General Acute Care Hospital
155 E BRUSH HILL RD
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 205 clinicians in this Medicare group
NPI 1548306343 (331) 221-1000
Swedishamerican Hospital
33 mi
Psychiatry
920 W PRAIRIE DR, UNIT F
Sycamore, IL 60178
  • Reassigned Medicare billing, Illinois enrollment
  • 474 clinicians in this Medicare group
NPI 1528234242 (815) 889-0339
Endeavor Health Medical Group
40 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services94 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
97 services97 patients
Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
50 services22 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
44 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60585 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Waldemar Nowak's NPI number?

The NPI number for Waldemar Nowak is 1619256534. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is Waldemar Nowak located?

Waldemar Nowak practices at 24600 W 127th St # 205, Plainfield, IL 60585. The listed phone number is (815) 731-9120.

What is Waldemar Nowak's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Waldemar Nowak enrolled in Medicare?

Yes. Waldemar Nowak 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.

Which organizations bill Medicare for Waldemar Nowak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Waldemar Nowak reassigns Medicare benefits to 6 organizations: Edward Health Ventures (Plainfield, IL), Edward Hospital (Naperville, IL), Advocate Health And Hospitals Corporation (Downers Grove, IL), Elmhurst Memorial Hospital (Elmhurst, IL), Swedishamerican Hospital (Sycamore, IL) and 1 more organization, listed in the Medicare section above. 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 Waldemar Nowak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Waldemar Nowak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Health and Quartz list Waldemar Nowak 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.

Is Waldemar Nowak affiliated with any hospitals?

According to CMS data, Waldemar Nowak is affiliated with Fhn Memorial Hospital and Uw Health.

When was this NPI record last updated?

The NPPES record for Waldemar Nowak was last updated on December 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.