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LOTANNA NWANDU MD
NPI 1669176632
General Practice in Monee, IL

Active since March 27, 2023PECOS Enrolled
26117 S COUNTYFAIR DR, MONEE, IL 60449(708) 269-3628 Get Directions Write a Review

NPPES record last updated: December 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 27, 2025, Nov 19, 2025, Mar 27, 2023 (3 updates tracked since 2023).

About Lotanna Nwandu Md NPPES

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

LOTANNA NWANDU MD (NPI 1669176632) is an individual general practice provider in Monee, Illinois, licensed in Michigan (4301515772) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669176632
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameLOTANNA NWANDUCredential: MD
Location Address26117 S COUNTYFAIR DRMonee, IL 60449-8783
Mailing Address26117 S Countyfair DrMonee, IL 60449-8783 · (708) 269-3628
Phone(708) 269-3628
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 27, 2023
Last NPPES UpdateDecember 27, 20253 updates tracked since enumeration
NPPES CertifiedDecember 27, 2025
✔ NPI 1669176632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in MI · 4301515772✔ Licensed in IN · 01098646A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
26117 S COUNTYFAIR DR, Monee, IL 60449
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground 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)

Lotanna Nwandu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678037009
PECOS Enrollment IDI20260715005010
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 Reassignment

Medicare enrollment records show Lotanna Nwandu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
771 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

D AND I TRANSPORT, INC
Non-emergency Medical Transport (VAN)
26117 S COUNTYFAIR DR
MONEE, IL 60449
Will County (708) 674-6277
THE LIFESUPPLIES INC
Durable Medical Equipment & Medical Supplies
26117 S COUNTYFAIR DR
MONEE, IL 60449
Will County (708) 259-0811

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 Lotanna Nwandu's NPI number?

The NPI number for Lotanna Nwandu is 1669176632. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Lotanna Nwandu located?

Lotanna Nwandu practices at 26117 S Countyfair Dr, Monee, IL 60449. The listed phone number is (708) 269-3628.

What is Lotanna Nwandu's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Lotanna Nwandu enrolled in Medicare?

Yes. Lotanna Nwandu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lotanna Nwandu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lotanna Nwandu reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Lotanna Nwandu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lotanna Nwandu accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Lotanna Nwandu 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 Lotanna Nwandu was last updated on December 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.