WAJDEY NESHEIWAT PA-C
NPI 1063279917
Physician Assistant - Surgical in Evanston, IL
NPI Status: Active since March 06, 2024
Contact Information
2650 RIDGE AVE.
DEPT. OF SURGERY WALGREEN 2507
EVANSTON, IL
ZIP 60201
Phone: (847) 570-2560
Fax: (847) 570-2930
- Individual
- Male
- Physician Assistant
- Surgical
- PECOS Enrolled
About WAJDEY NESHEIWAT
This page provides the complete NPI Profile along with additional information for Wajdey Nesheiwat, a provider established in Evanston, Illinois with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1063279917 assigned on March 2024. The practitioner's primary taxonomy code is 363AS0400X with license number 085010519 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1063279917
- Provider Name
- WAJDEY NESHEIWAT PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2650 RIDGE AVE. DEPT. OF SURGERY WALGREEN 2507 EVANSTON, IL 60201
- Location Phone
- (847) 570-2560
- Location Fax
- (847) 570-2930
- Mailing Address
- 2650 RIDGE AVE. DEPT. OF SURGERY WALGREEN 2507 EVANSTON, IL 60201
- Mailing Phone
- (847) 570-2560
- Mailing Fax
- (847) 570-2930
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-06-2024
- Last Update Date
- 09-13-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 085010519
- License State
- IL
Medicare Participation & PECOS Enrollment Status
Wajdey Nesheiwat is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 2 | 7 | 9 | 9 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 4 | 7 | 18 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 4 + 7 + 1 + 8 + 9 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1063279917 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487875209 | CHAD MICHAEL KELLER PA Individual | Physician Assistant (Surgical) | 2650 RIDGE AVE. BURCH 100, CARDIAC SURGERY DIVISION EVANSTON, IL 60201 (847) 570-2859 |
| 1154523355 | DR. STEPHEN JOSEPH SCHRANTZ JR. M.D. Individual | Internal Medicine (Infectious Disease) | 2650 RIDGE AVE. BURCH BLDG. RM 124 EVANSTON, IL 60201 (847) 570-1502 |
| 1407915952 | PHILIP G HORCHER MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 2650 RIDGE AVE. WALGREEN 1505 EVANSTON, IL 60201 (847) 570-2033 |
| 1306078498 | ANNA I. MCGOW M.D. Individual | Radiology (Diagnostic Radiology) | 2650 RIDGE AVE. DEPARTMENT OF RADIOLOGY EVANSTON, IL 60201 (847) 570-2475 |
| 1548581226 | DR. DAVID MICHAEL DICKERSON M.D. Individual | Anesthesiology (Pain Medicine) | 2650 RIDGE AVE. DEPARTMENT OF ANESTHESIA EVANSTON, IL 60201 (847) 570-2287 |
| 1205101334 | DR. THOMAS JOHN GNIADEK MD PHD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2650 RIDGE AVE. DEPT. OF PATHOLOGY EVANSTON, IL 60201 (847) 570-2730 |
| 1194774166 | DR. HECTOR FERRAL M.D. Individual | Radiology (Vascular & Interventional Radiology) | 2650 RIDGE AVE. DEPT. OF RADIOLOGY EVANSTON, IL 60201 (847) 570-2475 |
| 1104866805 | JACOB SETH ECANOW MD Individual | Radiology (Diagnostic Radiology) | 2650 RIDGE AVE. DEPARTMENT OF RADIOLOGY EVANSTON, IL 60201 (847) 570-2475 |
| 1922150598 | DR. LINDA M. ERNST M.D. M.H.S. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2650 RIDGE AVE. DEPARTMENT OF PATHOLOGY EVANSTON, IL 60201 (847) 570-2791 |
| 1407841414 | SIDNEY P. REGALADO M.D. Individual | Radiology (Diagnostic Radiology) | 2650 RIDGE AVE. DEPARTMENT OF RADIOLOGY EVANSTON, IL 60201 (847) 570-2160 |
| 1417159294 | DR. JOHN GROTH MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2650 RIDGE AVE. DEPARTMENT OF PATHOLOGY EVANSTON, IL 60201 (847) 570-2730 |
| 1124229737 | LINDA M. WINKE APN-CNP Individual | Nurse Practitioner | 2650 RIDGE AVE. WALGREENS 3507 EVANSTON, IL 60201 (847) 570-1290 |
| 1245431014 | RENA L. SILVER APN-CNP Individual | Nurse Practitioner | 2650 RIDGE AVE. WALGREENS 3507 EVANSTON, IL 60201 (847) 570-2250 |
| 1720289416 | WENDY B. STROM APN-CNP Individual | Nurse Practitioner | 2650 RIDGE AVE. WALGREEN 3507 EVANSTON, IL 60201 (847) 570-2640 |
| 1639353998 | PATRICIA C. OTIS APN-CNP Individual | Nurse Practitioner | 2650 RIDGE AVE. WALGREENS 3507 EVANSTON, IL 60201 (847) 570-2640 |
| 1518219757 | AMANDA K. DOWNS APN-CNP Individual | Nurse Practitioner | 2650 RIDGE AVE. WALGREEN 3507 EVANSTON, IL 60201 (847) 570-2868 |
| 1225598022 | MRS. LINDSEY WEDER ZIMMERMAN APN-CRNA Individual | Nurse Anesthetist, Certified Registered | 2650 RIDGE AVE. DEPARTMENT OF ANESTHESIA EVANSTON, IL 60201 (847) 570-2760 |
| 1417334087 | DR. YASER SAJID HOSAIN DO Individual | Hospitalist | 2650 RIDGE AVE. IM HOSPITALISTS STE 4210 EVANSTON, IL 60201 (847) 570-1010 |
| 1376196006 | BRENNA SELENA LEIKER PA-C Individual | Physician Assistant (Medical) | 2650 RIDGE AVE. EMERGENCY MEDICINE EVANSTON, IL 60201 (847) 570-2114 |
| 1598894891 | EUGENE P. KIM MD Individual | Hospitalist | 2650 RIDGE AVE. STE 4210 EVANSTON, IL 60201 (847) 570-1010 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063279917, enumerated in the NPI registry as an "individual" on March 06, 2024
The provider is located at 2650 Ridge Ave. Dept. Of Surgery Walgreen 2507 Evanston, Il 60201 and the phone number is (847) 570-2560
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 06, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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