MARIAM AEHTESHAM – Hospitalist Physician, NPI 1033561170

MARIAM AEHTESHAM is a healthcare provider. based in Evanston, Illinois. specializing in INTERNAL MEDICINE. They hold a License No. 036168185 (IL). The NPI Number for MARIAM AEHTESHAM is 1033561170

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MARIAM AEHTESHAM
NPI
1033561170
Phone
(847) 316-4000
Address
355 Ridge Ave
Enumeration Date
12 July 2016
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478432000
Graduation Year
2013 (13 years ago)
PAC ID
3274966346
Group Practice PAC ID
4082053434
Professional Enrollment ID
I20240828000577
Address ID
IL601691019HO1555XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:9State licenses:2Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for MARIAM AEHTESHAM

  • 355 Ridge Ave

    Department of Medicine

    Evanston, IL 602023328

    Phone: (847) 316-4000

    Type: Location

  • Church Street, Downtown, Evanston, Evanston Township, Cook County, Illinois, 60208, United States

    EVANSTON, IL 602031721

    Phone: (312) 868-5891

    Type: Mailing

  • Southeast Hospital, 1701, Lacey Street, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    CAPE GIRARDEAU, MO 637015230

    Phone: (573) 334-4822

    Fax: (573) 986-5984

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2023-08-29 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($31).

Total Amount

$80

General + Research + Ownership

Payments

5

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-29

Latest reported date

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: 2024-08-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191203001552IInternal MedicineMOTBD
I20240828000577IInternal 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15688$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes15490$0
99238Hospital discharge day management, 30 minutes or less7675$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4242$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 60202)

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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: 4082053434View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineIL
Nurse PractitionerIL
Internal Medicine, HospitalistIL
Hospitalist, Internal MedicineIL
Physician AssistantIL
Physician AssistantNY
Hospitalist, Family PracticeIL
Family Practice, Emergency MedicineIL
Physician AssistantAR
Internal MedicineIL

Reviews

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Frequently asked questions

Does MARIAM AEHTESHAM share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARIAM AEHTESHAM uses 1033561170.
Is MARIAM AEHTESHAM still practicing?
MARIAM AEHTESHAM is currently listed as active in the public NPI registry.
What is MARIAM AEHTESHAM's specialty?
The listing groups MARIAM AEHTESHAM with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Does MARIAM AEHTESHAM list a practice location?
Patients near Evanston, Illinois may find MARIAM AEHTESHAM in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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