NIDAL SHAWAHIN (MD) – Internal Medicine Physician, NPI 1245236884

NIDAL SHAWAHIN (MD) is a healthcare provider. based in Belleville, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036087648 (IL). The NPI Number for NIDAL SHAWAHIN (MD) is 1245236884

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
NIDAL SHAWAHIN (MD)
NPI
1245236884
Phone
(618) 222-7280
Address
4600 MEMORIAL DR
Enumeration Date
27 June 2005
Last Update Date
12 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
0244213379
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20040610000436
Address ID
IL622265366BE4600XDRXX300
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,824 INTERNAL MEDICINE in IL

Loading map...

Provider Addresses for NIDAL SHAWAHIN (MD)

  • 4600, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    STE. 360

    BELLEVILLE, IL 622265368

    Phone: (618) 222-7280

    Fax: (618) 222-7281

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 397 Open Payments records for all available years, with a total value of $6,812.

Total Amount is formed as General ($6,812) + Research ($0) + Ownership ($0) = $6,812.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,737).

Total Amount

$6,812

General + Research + Ownership

Payments

397

Total payment records

General Amount

$6,812

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040610000436IInternal MedicineILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes856365$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit215215$0
99213Established patient office or other outpatient visit, 20-29 minutes204150$0
G0008Administration of influenza virus vaccine152149$0
90662Influenza vaccine split virus, preservative free137134$0
View full utilization report →

Insurance plans in this area (ZIP 62226)

Loading plans...

Provider's Procedures

NIDAL SHAWAHIN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL20610Aspiration and/or injection of large joint or joint capsule3522

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerMO
Physician AssistantIL
Hospitalist, Internal Medicine, Pediatric Medicine, HospitalistMO
Family PracticeIL
Hospitalist, Family PracticeIL
E N D O C R I N O L O G YIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to NIDAL SHAWAHIN (MD)?
The federal identifier for NIDAL SHAWAHIN (MD) is NPI 1245236884.
Is NIDAL SHAWAHIN (MD) active in the national directory?
NIDAL SHAWAHIN (MD)'s public NPI profile is in an active state.
Can you summarize NIDAL SHAWAHIN (MD)'s specialty in plain language?
Clinically, the directory lists NIDAL SHAWAHIN (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is NIDAL SHAWAHIN (MD)'s primary listing?
We display Belleville, Illinois because that is what the record indicates for NIDAL SHAWAHIN (MD).
Is NIDAL SHAWAHIN (MD) a real provider?
This page reflects official NPPES data for NPI 1245236884. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

MATTHEW DEAN HAGEMAN (MD)

Internal Medicine Physician
130 LINCOLN PLACE CT
NPI: 1376540930

DR. LYNNE NOWAK (MD)

Internal Medicine Physician
305, South Illinois Street, Belleville, Saint Clair County, Illinois, 62220, United States
NPI: 1174520746

ANN HAGEDORN (MD)

Internal Medicine Physician
4550 Memorial Dr
NPI: 1245237825

MANUEL EMILIO LOPEZ (MD)

Hospitalist Physician
Memorial Hospital, 4500, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States
NPI: 1437158052

DR. TRUDY M SHADY (MD)

Pulmonary Disease Physician
Memorial Hospital, 4500, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States
NPI: 1417940354

DR. MATTHEW BRIAN WILKINSON (M.D.)

Internal Medicine Physician
931, Surrey Court, Edwardsville, Madison County, Illinois, 62025, United States
NPI: 1821083866