FARHEEN KOTHAWALA PA-C
NPI 1912759630
Physician Assistant - Surgical in Northbrook, IL

Active since April 04, 2024PECOS EnrolledAccepts Medicare Assignment
501 SKOKIE BLVD, NORTHBROOK, IL 60062(847) 504-3300 Get Directions Write a Review

NPPES record last updated: May 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2025, Dec 30, 2024, Apr 4, 2024 (3 updates tracked since 2024).

About Farheen Kothawala Pa-c NPPES

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

FARHEEN KOTHAWALA PA-C (NPI 1912759630) is an individual surgical provider in Northbrook, Illinois, licensed in Illinois (085010723) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912759630
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameFARHEEN KOTHAWALACredential: PA-C
Location Address501 SKOKIE BLVDNorthbrook, IL 60062-2802
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 982-3172
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 4, 2024
Last NPPES UpdateMay 10, 20253 updates tracked since enumeration
NPPES CertifiedMay 10, 2025
NPI 1912759630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in IL · 085010723
501 SKOKIE BLVD, Northbrook, IL 60062

Other Names 1

Former Name (1)Farheen Javeed Shethwala Pa-c

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

Farheen Kothawala Pa-c 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 ID4082149059
PECOS Enrollment IDI20241127002477
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.

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

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

Other Providers at the Same Location NPPES 15

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

Otolaryngology
501 SKOKIE BLVD
NORTHBROOK, IL 60062
Physician Assistant (Surgical)
501 SKOKIE BLVD
NORTHBROOK, IL 60062
Audiologist
501 SKOKIE BLVD
NORTHBROOK, IL 60062
Audiologist
501 SKOKIE BLVD
NORTHBROOK, IL 60062
Audiologist
501 SKOKIE BLVD
NORTHBROOK, IL 60062
Otolaryngology (Otology & Neurotology)
501 SKOKIE BLVD
NORTHBROOK, IL 60062
Physician Assistant
501 SKOKIE BLVD
NORTHBROOK, IL 60062
Physician Assistant (Surgical)
501 SKOKIE BLVD
NORTHBROOK, IL 60062

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 Farheen Kothawala's NPI number?

The NPI number for Farheen Kothawala is 1912759630. It was assigned to this individual provider in the NPPES registry on April 4, 2024. The provider is also known as Farheen Javeed Shethwala Pa-C.

Where is Farheen Kothawala located?

Farheen Kothawala practices at 501 Skokie Blvd, Northbrook, IL 60062. The listed phone number is (847) 504-3300.

What is Farheen Kothawala's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Farheen Kothawala enrolled in Medicare?

Yes. Farheen Kothawala 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.

Is Farheen Kothawala affiliated with any hospitals?

According to CMS data, Farheen Kothawala is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Farheen Kothawala was last updated on May 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.