Individual provider Active NPI

Ghousia Wajida, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Winfield, IL
National Provider Identifier
1932129384
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
036109542 Issued in IL
Practice address
25 N Winfield Rd # Cvo
Winfield, IL 60190-1222
Phone
(630) 933-4700
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35082790 OH
Internal Medicine Physician 207R00000X 57644 WI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036109542 IL Primary

Addresses

Primary practice location

25 N Winfield Rd # Cvo
Winfield, IL 60190-1222

Mailing address

25 N Winfield Rd
Cvo
Winfield, IL 60190-1295
Phone (630) 933-2297

Other practice location 1

2901 W Kinnickinnic River Pkwy
Suite 315
Milwaukee, WI 53215-3677
Phone (414) 649-5646

Other practice location 2

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 933-4700

Other identifiers 1

IdentifierTypeStateIssuer
2445205MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130917000504 IL Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5496733776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

0 N025 Winfield Rd
Winfield, IL 60190-1237
Phone (630) 260-0600

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35082790OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Internal Medicine CurrentSince Oct 18, 2017 Accepting new patients
Central Dupage Physician Group CurrentSince Oct 18, 2017 Accepting new patients
Critical Care Physicians of Illinois LLC Critical Care Medicine CurrentSince May 28, 2013 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Southwest Medical Care Corporation Past Accepting new patients
Uhhs Bedford Internal Medicine Past Accepting new patients
North East Ohio Group Practice LLC Internal Medicine Past Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

444 N Park Blvd
Glen Ellyn, IL 60137
Phone (630) 469-0045

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

0N025 Winfield Rd
Winfield, IL 60190
Phone (630) 832-0050

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932129384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD",
            "address_2": "CVO",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901295",
            "telephone_number": "630-933-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD # CVO",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901222",
            "telephone_number": "630-933-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 W Kinnickinnic River Pkwy",
            "address_2": "Suite 315",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532153677",
            "country_code": "US",
            "telephone_number": "414-649-5646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344200",
            "country_code": "US",
            "telephone_number": "630-933-4700",
            "fax_number": "630-933-4427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAJIDA",
        "first_name": "GHOUSIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35082790",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "57644",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036109542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2445205",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

Verify at the official NPI Registry.