MARYAM YASEEN – Hospitalist Physician, NPI 1083236962

MARYAM YASEEN is a healthcare provider. based in Springfield, Illinois. specializing in HOSPITALIST. They hold a License No. 125076083 (IL). The NPI Number for MARYAM YASEEN is 1083236962

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MARYAM YASEEN
NPI
1083236962
Phone
(217) 544-6464
Address
800 E CARPENTER ST
Enumeration Date
13 May 2020
Last Update Date
24 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182342120
Graduation Year
2017 (9 years ago)
PAC ID
9133543697
Group Practice PAC ID
3274765904
Professional Enrollment ID
I20230919001436
Address ID
IL622691099OX1XXXXBLVD400

Contacts

Secure Messaging
myaseen288640@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

2,390 HOSPITALIST in IL

Provider Addresses for MARYAM YASEEN

  • 800 E CARPENTER ST

    SPRINGFIELD, IL 627691000

    Phone: (217) 544-6464

    Type: Mailing

  • 701 N 1st St

    Springfield, IL 627023757

    Phone: (217) 545-8000

    Fax: (217) 545-4735

    Type: Location

  • 1800 E Lake Shore Dr

    Decatur, IL 625213810

    Phone: (217) 464-5811

    Type: Location

  • PO BOX 19636

    SPRINGFIELD, IL 627949636

    Phone: (217) 545-8000

    Fax: (217) 545-4735

    Type: Mailing

  • 701 N 1ST ST

    SPRINGFIELD, IL 627023757

    Phone: (217) 545-8000

    Fax: (217) 545-4735

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-01-23 • Largest payer in this snapshot: ABBVIE INC. ($46).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$46
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: 2023-09-19

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
I20230919001436IHospitalistILTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10945$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8841$0
99239Hospital discharge day management, more than 30 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 62769)

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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: 3274765904View full group profile
NameSpecialtyState
Nurse PractitionerIL
Internal MedicineIL
Family Practice, HospitalistWI
Physician AssistantIL
Internal MedicineIL
Family Practice, HospitalistMO
Physician AssistantMO
H O S P I T A L I S TIL
Nurse PractitionerIL
H O S P I T A L I S TOK

Reviews

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Frequently asked questions

How do I look up MARYAM YASEEN by NPI?
Use NPI 1083236962 when you need to reference MARYAM YASEEN in forms, claims, or directories.
Is MARYAM YASEEN currently active in the NPI registry?
CMS-published data lists MARYAM YASEEN as an active registrant.
Does MARYAM YASEEN list a primary specialty?
If you are matching referrals, note Hospitalist Physician for MARYAM YASEEN. Clinical services aligned with this taxonomy classification.
Where is MARYAM YASEEN's primary listing?
We display Springfield, Illinois because that is what the record indicates for MARYAM YASEEN.
Is MARYAM YASEEN a real provider?
This page reflects official NPPES data for NPI 1083236962. Always confirm identity and privileges with the practice and licensing boards.

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