DR. HELEN GHARWAN M.D.
NPI 1770745424
Internal Medicine - Hematology & Oncology in Chicago, IL

Q: What is Helen Gharwan's NPI number?

The NPI number for Helen Gharwan is 1770745424. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Q: What is Helen Gharwan'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 Helen Gharwan was last updated on September 26, 2023. 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.

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment

1725 W HARRISON ST STE 1010, CHICAGO, IL 60612(800) 226-2371 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Helen Gharwan M.d. NPPES

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

DR. HELEN GHARWAN M.D. (NPI 1770745424) is an individual hematology & oncology provider in Chicago, Illinois, licensed in Illinois (036166286) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1770745424

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameDR. HELEN GHARWANCredential: M.D.

Location Address1725 W HARRISON ST STE 1010Chicago, IL 60612-3845

Mailing Address1725 W Harrison St Ste 1010Chicago, IL 60612-3845 · (800) 226-2371

Phone(800) 226-2371

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJune 25, 2008

Last NPPES UpdateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1770745424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in IL · 036166286

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.

1725 W HARRISON ST STE 1010, Chicago, IL 60612

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Secondary Practice Location 1

Location 12415 W Garrison Ave Apt ABaltimore, MD 21215-5350 · Phone (443) 824-7824

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

Dr. Helen Gharwan 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 ID7416264841

PECOS Enrollment IDI20211207001350, I20250811001834

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

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

Rush University Medical Group

0.2 mi

Internal Medicine

1620 W HARRISON ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
2,169 clinicians in this Medicare group

NPI 1093819542 (312) 942-5000

Whatley Health Services, Inc

561 mi

Federally Qualified Health Center (FQHC)

230 HOSPITAL DR
Vernon, AL 35592

Reassigned Medicare billing, Alabama enrollment
244 clinicians in this Medicare group

NPI 1114101383 (205) 695-0450

Capstone Health Services Foundation PC

592 mi

Multi-Specialty

289 ROBERT K WILSON DR SUITE C
Carrollton, AL 35447

Reassigned Medicare billing, Alabama enrollment
307 clinicians in this Medicare group

NPI 1588231542 (205) 348-1770

The Dch Health Care Authority

598 mi

Clinic/Center

701 UNIVERSITY BLVD E STE 211
Tuscaloosa, AL 35401

Reassigned Medicare billing, Alabama enrollment
Medicare enrollment name: The Dch Healthcare Authority
179 clinicians in this Medicare group

NPI 1306613211 (205) 343-8200

Luminis Health Medical Group, LLC

599 mi

Clinic/Center

2970 BELCREST CENTER DR
Hyattsville, MD 20782

Reassigned Medicare billing, Maryland enrollment
794 clinicians in this Medicare group

NPI 1811494990 (443) 481-1000

Trinity Health Of New England Provider Network Organization Inc

772 mi

Internal Medicine

114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105

Reassigned Medicare billing, Connecticut enrollment
1,186 clinicians in this Medicare group

NPI 1003882812 (860) 714-1325

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 5

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.

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.

318 services119 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.

199 services91 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

81 services71 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.

56 services54 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

45 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers16 claims16 services$18.36 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 18

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

CELALETTIN USTUN MD

Internal Medicine (Hematology)