JASMIN ALISA NWACHOKOR (M.D) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1457880999

JASMIN ALISA NWACHOKOR (M.D) is a healthcare provider. based in Maywood, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D. They hold a License No. 036157044 (IL). The NPI Number for JASMIN ALISA NWACHOKOR (M.D) is 1457880999

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JASMIN ALISA NWACHOKOR (M.D)
NPI
1457880999
Phone
Not provided
Address
2160 S 1ST AVE
Enumeration Date
8 June 2017
Last Update Date
26 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4047787525
Graduation Year
2017 (9 years ago)
PAC ID
6608147970
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20241113002752
Address ID
GA303221013AT1365XNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for JASMIN ALISA NWACHOKOR (M.D)

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone:

    Type: Mailing

  • 1215 LEE ST BOX 800793

    CHARLOTTESVILLE, VA 229080001

    Phone: (434) 924-1955

    Fax: (434) 982-1814

    Type: Location

  • University of Virginia Medical Center, 1215, Lee Street, Jefferson Park Avenue, Starr Hill, Charlottesville, Virginia, 22908, United States

    BOX 800793

    CHARLOTTESVILLE, VA 229080816

    Phone: (434) 924-1955

    Fax: (434) 982-1814

    Type: Mailing

  • 6325 HOSPITAL PKWY

    DULUTH, GA 300975775

    Phone: (708) 216-2170

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $875.

Total Amount is formed as General ($875) + Research ($0) + Ownership ($0) = $875.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($347).

Total Amount

$875

General + Research + Ownership

Payments

8

Total payment records

General Amount

$875

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2024-11-13

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
I20241113002752IObstetrics/GynecologyGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60153)

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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: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

What identifier follows JASMIN ALISA NWACHOKOR (M.D) across health systems?
The NPI 1457880999 uniquely identifies JASMIN ALISA NWACHOKOR (M.D) in U.S. healthcare data.
Is JASMIN ALISA NWACHOKOR (M.D) currently accepting referrals based on NPI status?
Registry metadata lists JASMIN ALISA NWACHOKOR (M.D) as active.
What services align with JASMIN ALISA NWACHOKOR (M.D)'s listing?
JASMIN ALISA NWACHOKOR (M.D)'s public classification highlights Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
Is JASMIN ALISA NWACHOKOR (M.D) tied to Maywood, Illinois?
If you are local to Maywood, Illinois, JASMIN ALISA NWACHOKOR (M.D) may be relevant to your search.
Why is information missing for JASMIN ALISA NWACHOKOR (M.D)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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