Wambui Waruingi, MD - Medicare Pediatrics in Crown Point, IN

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Wambui Waruingi, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Crown Point, Indiana. Her current practice location is 1201 S Main St, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 738-2100.

Wambui Waruingi is licensed to practice in Indiana (license number 01071283A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033313143.

Contact Information

Wambui Waruingi, MD
1201 S Main St,
Crown Point, IN 46307-8481
(219) 738-2100
(219) 681-6871

Map and Direction




Physician's Profile

Full NameWambui Waruingi
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location1201 S Main St, Crown Point, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033313143
  • Provider Enumeration Date: 06/13/2007
  • Last Update Date: 10/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688808694
  • Enrollment ID: I20150914000476

Medical Identifiers

Medical identifiers for Wambui Waruingi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033313143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 01071283A (Indiana)Primary
2080N0001XPediatrics - Neonatal-perinatal Medicine 2015022189 (Missouri)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 036155429 (Illinois)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 35096198 (Ohio)Secondary
208000000XPediatrics 01071283A (Indiana)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Wambui Waruingi allows following entities to bill medicare on her behalf.
Entity NameSsm Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393
Entity NameSsm Cardinal Glennon Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174577670
PECOS PAC ID: 7012828163
Enrollment ID: O20031231000604

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wambui Waruingi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wambui Waruingi, MD
Po Box 781076,
Detroit, MI 48278-1076

Ph: (317) 528-4800		Wambui Waruingi, MD
1201 S Main St,
Crown Point, IN 46307-8481

Ph: (219) 738-2100

Reviews and Comments


Pediatrics Doctors in Crown Point, IN

Dr. Lisa Camille Gold, MD
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Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307
Phone: 219-662-0700    Fax: 219-662-0973
Destiny Harrell-washington, D.O.
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Practice Location: 9470 Broadway, Crown Point, IN 46307
Phone: 219-661-3260    Fax: 219-662-3770
Dr. Melanie Carol Harris, M.D.
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Practice Location: 11161 Randolph St, Crown Point, IN 46307
Phone: 219-662-9424    Fax: 219-662-7465
Anisha Ashwin Amin, MD
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Medicare: Medicare Enrolled
Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307
Phone: 219-662-0700    Fax: 219-662-0973
Darlene Sekerez, M.D.
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Medicare: Medicare Enrolled
Practice Location: 9470 Broadway, Crown Point, IN 46307
Phone: 219-661-3260    Fax: 219-662-3770
Silvia Beatriz Vicente, MD
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Medicare: Medicare Enrolled
Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307
Phone: 219-662-0700    Fax: 219-662-0973

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.