DR. MANSOINA BAWEJA MD
NPI 1629052089
Internal Medicine - Hematology & Oncology in Naperville, IL

Q: What is Mansoina Baweja's NPI number?

The NPI number for Mansoina Baweja is 1629052089. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Mansoina Baweja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Mansoina Baweja was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 30, 2005PECOS EnrolledAccepts Medicare Assignment

91.35/100

CMS Quality Rating

120 SPALDING DR, STE 111, NAPERVILLE, IL 60540(630) 527-3788(630) 646-6071 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mansoina Baweja Md NPPES

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

DR. MANSOINA BAWEJA MD (NPI 1629052089) is an individual hematology & oncology provider in Naperville, Illinois, licensed in Illinois (036119257) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1629052089

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameDR. MANSOINA BAWEJACredential: MD

Location Address120 SPALDING DR, STE 111Naperville, IL 60540-6766

Mailing Address120 Spalding Dr, Ste 111Naperville, IL 60540-6766 · (630) 527-3788 · Fax (630) 646-6071

Phone(630) 527-3788

Fax(630) 646-6071

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateNovember 30, 2005

Last NPPES UpdateMarch 11, 2021

NPPES CertifiedMarch 11, 2021

✔ NPI 1629052089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in IL · 036119257✔ Licensed in FL · ME85565

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

120 SPALDING DR, Naperville, IL 60540

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Other Identifiers 4

Medicaid265524100FL

OtherP00000944FL · Railroad Medicare

Medicaid036119257 1IL

Other57791FL · Bluecross/blueshield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mansoina Baweja Md 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 ID4486655461

PECOS Enrollment IDI20080628000037

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.

Areas of Expertise CMS Part B claims 13

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 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.

356 services112 patients

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.

233 services173 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

110 services57 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

72 services61 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

52 services27 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

42 services32 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

30 services30 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

27 services25 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

26 services26 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.

20 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140114

Location5145 N California AveChicago, IL 60625 · Cook County

Emergency services Birthing friendly

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number140200

Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County

Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140231

Location801 South WashingtonNaperville, IL 60540 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.71

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier14 claims1,176 services$0.74 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

1 supplier15 claims15 services$18.97 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JAMES R DAVIS MD

Specialist

120 SPALDING DR, SUITE 307
NAPERVILLE, IL 60540

Dupage County (630) 355-1102

SHEILA TREFTZ APN

Nurse Practitioner (Acute Care)

120 SPALDING DR, SUITE 401
NAPERVILLE, IL 60540

Dupage County (630) 416-4501

JOSEPH KASH MD

Internal Medicine (Hematology & Oncology)

120 SPALDING DR, SUITE 111
NAPERVILLE, IL 60540

Dupage County (630) 527-3788

MRS. WENDY ANN PAWELSKI LCPC,CADC

Counselor (Professional)

120 SPALDING DR, MOB II SUITE 408
NAPERVILLE, IL 60540

Dupage County (630) 527-5484

EDWARD HEALTH VENTURES

Psychiatry & Neurology (Neurology)

120 SPALDING DR, STE 207
NAPERVILLE, IL 60540

Dupage County (630) 527-7730

KRISTIN R. WATKINS APN-CNP

Nurse Practitioner

120 SPALDING DR
NAPERVILLE, IL 60540

Dupage County (630) 369-7700

JAMES W WIELGOLEWSKI MD

Surgery

120 SPALDING DR, SUITE 100
NAPERVILLE, IL 60540

Dupage County (630) 961-0423

HASSAN PERVEZ M.D.

Internal Medicine (Hematology & Oncology)

120 SPALDING DR, SUITE 111
NAPERVILLE, IL 60540

Dupage County (630) 527-3788

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 Mansoina Baweja's NPI number?

The NPI number for Mansoina Baweja is 1629052089. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Mansoina Baweja located?

Mansoina Baweja practices at 120 Spalding Dr Ste 111, Naperville, IL 60540. The listed phone number is (630) 527-3788.

What is Mansoina Baweja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mansoina Baweja enrolled in Medicare?

Yes. Mansoina Baweja 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.

What insurance does Mansoina Baweja accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Mansoina Baweja 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 Mansoina Baweja affiliated with any hospitals?

According to CMS data, Mansoina Baweja is affiliated with Swedish Hospital, Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Mansoina Baweja was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.