MARYAM OSHOMAH – Family Nurse Practitioner, NPI 1073153680

MARYAM OSHOMAH is a healthcare provider. based in North haven, Connecticut. specializing in NURSE PRACTITIONER. They hold a License No. 8658 (CT). The NPI Number for MARYAM OSHOMAH is 1073153680

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MARYAM OSHOMAH
NPI
1073153680
Phone
(203) 809-3663
Address
1660 RIDGE RD
Enumeration Date
11 January 2020
Last Update Date
27 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035033228
Graduation Year
2019 (7 years ago)
PAC ID
7911334289
Group Practice PAC ID
3072418359
Professional Enrollment ID
I20200226000910
Address ID
CT065191233NE428XXAVEX300

Contacts

Secure Messaging
maryam.oshomah@xdr.hhchealthdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

4,191 NURSE PRACTITIONER in CT

Provider Addresses for MARYAM OSHOMAH

  • 1660 RIDGE RD

    NORTH HAVEN, CT 064732046

    Phone: (203) 809-3663

    Mailing address matches the actual address.

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: 2020-02-26

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
I20200226000910INurse PractitionerCTTBD

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
83036Hemoglobin a1c level1311$0
View full utilization report →

Insurance plans in this area (ZIP 06473)

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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: 3072418359View full group profile

Reviews

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Frequently asked questions

Does MARYAM OSHOMAH share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARYAM OSHOMAH uses 1073153680.
Can I rely on MARYAM OSHOMAH being an active provider?
As of the registry snapshot, MARYAM OSHOMAH is marked active.
What is MARYAM OSHOMAH best known for clinically?
Directory data describes MARYAM OSHOMAH with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MARYAM OSHOMAH serve?
MARYAM OSHOMAH's listing highlights North Haven, Connecticut; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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