WATAN ABUAITA PA-C
NPI 1265981773
Physician Assistant in Downers Grove, IL
NPI Status: Active since September 26, 2016
Contact Information
555 31ST ST
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 515-6171
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About WATAN ABUAITA
This page provides the complete NPI Profile along with additional information for Watan Abuaita, a primary care provider established in Downers Grove, Illinois with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1265981773 assigned on September 2016. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1265981773
- Provider Name
- WATAN ABUAITA PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 555 31ST ST DOWNERS GROVE, IL 60515
- Location Phone
- (630) 515-6171
- Mailing Address
- 555 31ST ST DOWNERS GROVE, IL 60515
- Mailing Phone
- (630) 515-6171
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-26-2016
- Last Update Date
- 09-26-2016
- Code Navigator
A primary care provider (PCP) like Watan Abuaita sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Watan Abuaita 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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF008N)
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each (HCPCS:A4351)
3 DME suppliers used 25 Medicare Claims 5400 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60515 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $93.02
- Minimum New Patient Price $59.81
- Maximum New Patient Price $181.38
- Average New Patient Copayment $23.25
- Minimum New Patient Copayment $14.95
- Maximum New Patient Copayment $45.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.38
- Minimum Established Patient Price $19.15
- Maximum Established Patient Price $147.12
- Average Established Patient Copayment $18.59
- Minimum Established Patient Copayment $4.78
- Maximum Established Patient Copayment $36.78
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 2 | 6 | 5 | 9 | 8 | 1 | 7 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 18 | 8 | 2 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 8 + 8 + 2 + 7 + 1 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1265981773 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1407960933 | DR. JACOB PATRICK GETTIG PHARMD, BCPS Individual | Pharmacist (Pharmacotherapy) | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-7324 |
| 1063523231 | DR. SUSAN CORNELL PHARMD, CDE Individual | Pharmacist | 555 31ST ST AH 355 DOWNERS GROVE, IL 60515 (630) 515-6191 |
| 1932264173 | MS. SHARON ANN BLATTNER PAC Individual | Physician Assistant | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-6034 |
| 1134265853 | DR. KATHLEEN MARIE VEST PHARMD Individual | Pharmacist | 555 31ST ST MIDWESTERN UNIVERSITY-CHICAGO COLLEGE OF PHARMACY DOWNERS GROVE, IL 60515 (630) 515-6054 |
| 1093931461 | PROF. CHRISTIAN C EVANS P.T. Individual | Physical Therapist | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-7249 |
| 1942492053 | KELLIE L BENNETT PHARMD Individual | Pharmacist | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-6272 |
| 1346400157 | DR. MARK KOVIC OTD, OTR/L Individual | Occupational Therapist | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-7223 |
| 1174765333 | KELLY ANNE LEMPICKI PHARMD Individual | Pharmacist | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-6260 |
| 1235462383 | DR. KIMBERLY ALLISON BRYZE PHD, OTR/L Individual | Occupational Therapist (Pediatrics) | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-7226 |
| 1548573199 | REGINA ARELLANO PHARMD Individual | Pharmacist | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-6357 |
| 1215220892 | TIFFANY J SCOTT-HORTON PHARM.D. Individual | Pharmacist | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-6260 |
| 1962548271 | BROOKE GRIFFIN PHARMD Individual | Pharmacist | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-7649 |
| 1881038149 | FRANK UPSHAW PERRY JR. D.D.S. Individual | Dentist | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-7369 |
| 1518204809 | DR. LISA PALMISANO PHARM.D. Individual | Pharmacist | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-6947 |
| 1619340783 | JENNIFER L MAZAN PHARM.D. Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-7626 |
| 1891036851 | BRUNO JHAM Individual | Dentist | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-7469 |
| 1245691567 | JULIA HUMMEL Individual | Physician Assistant | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-6034 |
| 1730737230 | STEVEN TYLER GONZALEZ Individual | Pharmacy Technician | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-6171 |
| 1396371019 | IAN ZELKO Individual | Student in an Organized Health Care Education/Training Program | 555 31ST ST DOWNERS GROVE, IL 60515 (262) 497-3521 |
| 1649806795 | MAX T NGUYEN Individual | Student in an Organized Health Care Education/Training Program | 555 31ST ST DOWNERS GROVE, IL 60515 (630) 515-6470 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265981773, enumerated in the NPI registry as an "individual" on September 26, 2016
The provider is located at 555 31st St Downers Grove, Il 60515 and the phone number is (630) 515-6171
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: HAP CareSource. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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.
Medicare beneficiaries should expect a typical cost of $93.02 with an average copayment of $23.25 for new patient appointments. Established patients should expect a typical charge of $74.38 and an average copayment of 18.59. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 26, 2016. 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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