DR. ABEBECH JOBIR WAKTOLA (MD) – Student in an Organized Health Care Education/Training Program, NPI 1942720552
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
60 NEPHROLOGY in ME
Provider Addresses for DR. ABEBECH JOBIR WAKTOLA (MD)
PO BOX 19639
SPRINGFIELD, IL 627949639
Phone: (217) 545-8000
Type: Mailing
1161, 21st Avenue South, Nashville, Davidson County, Tennessee, 37212, United States
NASHVILLE, TN 372320011
Phone: (615) 343-6105
Type: Mailing
125 Northport Ave Ste 106
Belfast, ME 049156002
Phone: (207) 505-4080
Fax: (207) 800-4338
Type: Location
3401 Conifer Dr
Springfield, IL 627118300
Phone: (217) 726-2527
Type: Location
6 GLEN COVE DR
ROCKPORT, ME 048564272
Phone: (270) 301-8000
Type: Location
720 2ND AVE STE 203
BOWLING GREEN, KY 421011778
Phone: (270) 843-5114
Fax: (270) 745-1230
Type: Mailing
2006 ACKLEN AVE UNIT 128211
NASHVILLE, TN 372123952
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $206.
Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.
Last reported payment date: 2024-02-16 • Largest payer in this snapshot: Aurinia Pharma U.S., Inc. ($87).
Total Amount
$206
General + Research + Ownership
Payments
9
Total payment records
General Amount
$206
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-07-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230808002287 | I | Nephrology | MS | TBD |
| I20240708002534 | I | Nephrology | ME | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 280 | 84 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 59 | 34 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 32 | 31 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 62794)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Physician Assistant | IL | |
| Pulmonary Disease | IL | |
| D E R M A T O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Physician Assistant | IL | |
| General Surgery | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
Reviews
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