LAWREN WELLISCH (M.D.) – Pediatric Critical Care Medicine Physician, NPI 1174885792
Pediatric Critical Care Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LAWREN WELLISCH (M.D.)
5721 S MARYLAND AVE
RM, K155, MC8016
CHICAGO, IL 606371425
Phone: (773) 702-6435
Type: Mailing
5721 S Maryland Ave
rm, K155, MC8016
Chicago, IL 606371425
Phone: (773) 702-6435
Type: Location
593 Eddy St
Providence, RI 029034923
Phone: (401) 444-8351
Type: Location
300 LONGWOOD AVE
BOSTON, MA 021155724
Phone: (617) 355-6000
Type: Mailing
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 029054541
Phone: (401) 444-6779
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-11
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170703001559 | I | Emergency Medicine | IL | TBD |
| I20181017002073 | I | Pediatric Medicine | MA | TBD |
| I20240711002099 | I | Pediatric Medicine | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Pediatric Medicine | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Pediatric Medicine | MA | |
| - | TX | |
| - | MA | |
| - | MA | |
| Pediatric Medicine | MA |
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