NPIMap

Individual provider Active NPI

Wassim Shwaiki, M.D.

  • Pulmonary Disease Physician
  • Munster, IN
National Provider Identifier
1013115039
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01064103A Issued in IN
Practice address
8840 Calumet Ave Ste 203
Munster, IN 46321-2546
Phone
(219) 836-7723
Fax
(219) 836-7726
NPI assigned
Jul 11, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 01064103A IN Primary

Addresses

Primary practice location

8840 Calumet Ave Ste 203
Munster, IN 46321-2546

Mailing address

PO Box 1103
Crown Point, IN 46308-1103
Phone (219) 662-3931

Other practice location 1

505 W US Highway 30
Schererville, IN 46375-2650
Phone (219) 836-7723

Other identifiers 5

IdentifierTypeStateIssuer
000000527883OtherINBCBS IN
P00434655OtherMEDICARE RAILROAD
200872190OtherINMEDICAID
90001173OtherILBCBS IL
217960COtherINMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000231 IN Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5890886873 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chest Physician Consultants, LTDGroup PAC ID 9931173937, 8 clinicians

Practice addresses (Care Compare)

8840 Calumet Ave
Suite 206
Munster, IN 46321-2546
Phone (219) 836-7723

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC CurrentSince Dec 1, 2022 Accepting new patients
St Catherine Hospital Inc CurrentSince Apr 21, 2014 Accepting new patients
Community Care Network Inc CurrentSince Jan 19, 2019 Accepting new patients
St. Catherine Hospital Inc. CurrentSince Apr 21, 2014 Accepting new patients
La Porte Clinic Company LLC CurrentSince Dec 1, 2022 Accepting new patients
Grabarek Rehabilitation LLC PastSince Jul 24, 2022 Accepting new patients

Locations

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

4321 Fir St
Fl 4
East Chicago, IN 46312
Phone (219) 364-3811

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

8840 Calumet Ave
Ste 203
Munster, IN 46321
Phone (219) 595-0535

8840 Calumet Ave
Ste 206
Munster, IN 46321
Phone (219) 513-0092

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

3630 Willowcreek Rd
Fl 3
Portage, IN 46368
Phone (219) 364-3800

505 W US Highway 30
Schererville, IN 46375
Phone (219) 322-3311

Networks

  • IL PPO Downstate
  • KY PPO
  • IL HMO C-SNP
  • KY PPO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Powers HealthEast Chicago, IN, CCN 15T008 Hospital Corporate Director Jul 1, 2013
Powers HealthEast Chicago, IN, CCN 150008 Hospital Corporate Director Jul 1, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013115039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1103",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463081103",
            "telephone_number": "219-662-3931",
            "fax_number": "219-663-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 CALUMET AVE STE 203",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212546",
            "telephone_number": "219-836-7723",
            "fax_number": "219-836-7726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 W US Highway 30",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463752650",
            "country_code": "US",
            "telephone_number": "219-836-7723",
            "fax_number": "219-836-7726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHWAIKI",
        "first_name": "WASSIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01064103A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IN",
            "identifier": "000000527883",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00434655",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "200872190",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "90001173",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "217960C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.