HEELAI WARDAK (PA-C) – Physician Assistant, NPI 1275195851

HEELAI WARDAK (PA-C) is a healthcare provider. based in Cleveland, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085008018 (IL). The NPI Number for HEELAI WARDAK (PA-C) is 1275195851

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
HEELAI WARDAK (PA-C)
NPI
1275195851
Phone
Not provided
Address
2111 RANDOM RD STE A
Enumeration Date
3 July 2019
Last Update Date
3 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
84788266042191
Graduation Year
2020 (6 years ago)
PAC ID
6305254111
Group Practice PAC ID
8729069158
Professional Enrollment ID
I20210415002194
Address ID
IL600102542LA22285RDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for HEELAI WARDAK (PA-C)

  • 2111 RANDOM RD STE A

    CLEVELAND, OH 441062959

    Phone:

    Type: Mailing

  • 5841 S Maryland Ave

    Chicago, IL 606371443

    Phone: (773) 702-1000

    Type: Location

  • 2650 RIDGE AVE STE 1223

    EVANSTON, IL 602011700

    Phone: (847) 982-6715

    Type: Mailing

  • 9600 GROSS POINT RD

    SKOKIE, IL 600761214

    Phone: (847) 675-3900

    Fax: (847) 675-3930

    Type: Location

  • 1000 N WESTMORELAND RD # LEVEL1

    LAKE FOREST, IL 600451658

    Phone: (847) 535-7647

    Fax: (847) 535-7260

    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: 2021-04-15

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
I20210415002194IPhysician AssistantILTBD

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 44106)

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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: 8729069158View full group profile
NameSpecialtyState
N E U R O L O G YIL
Neurology, Sleep MedicineIL
N E U R O L O G YIL
N E U R O L O G YIL
N E U R O L O G YIL
Neurology, Sleep MedicineIL
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What identifier follows HEELAI WARDAK (PA-C) across health systems?
The NPI 1275195851 uniquely identifies HEELAI WARDAK (PA-C) in U.S. healthcare data.
Quick check: is HEELAI WARDAK (PA-C) active?
Public NPPES data shows HEELAI WARDAK (PA-C) with an active NPI status right now.
What services align with HEELAI WARDAK (PA-C)'s listing?
HEELAI WARDAK (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to HEELAI WARDAK (PA-C)?
HEELAI WARDAK (PA-C) shows a connection to Cleveland, Ohio in registry-derived data.
Why is information missing for HEELAI WARDAK (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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