MARYAM FATIMA RAOUF (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1124523006

MARYAM FATIMA RAOUF (MD) is a healthcare provider. based in Maywood, Illinois. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 125071935 (IL). The NPI Number for MARYAM FATIMA RAOUF (MD) is 1124523006

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MARYAM FATIMA RAOUF (MD)
NPI
1124523006
Phone
(888) 584-7888
Address
2160 S 1st Ave
Enumeration Date
24 March 2018
Last Update Date
22 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157594323
Graduation Year
2012 (14 years ago)
PAC ID
1759760945
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20220617001694
Address ID
IL600508409MC4201XDRXX500

Contacts

Secure Messaging
mraouf93393@direct.luhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness95
Years active:8State licenses:2Other names

766 PATHOLOGY in IL

Provider Addresses for MARYAM FATIMA RAOUF (MD)

  • 2160 S 1st Ave

    Maywood, IL 60153

    Phone: (888) 584-7888

    Type: Location

  • 2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States

    MAYWOOD, IL 601533328

    Phone:

    Type: Mailing

  • 4201 W MEDICAL CENTER DR

    MCHENRY, IL 600508409

    Phone: (815) 759-4806

    Fax: (815) 759-4867

    Type: Location

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: 2022-06-17

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
I20220617001694IPathologyILTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity6732$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How is MARYAM FATIMA RAOUF (MD) identified in CMS data?
CMS-hosted NPPES data lists MARYAM FATIMA RAOUF (MD) with NPI 1124523006.
Does CMS list MARYAM FATIMA RAOUF (MD) as active?
Yes — MARYAM FATIMA RAOUF (MD) is active in the NPI listing used on this page.
What is MARYAM FATIMA RAOUF (MD)'s specialty?
The listing groups MARYAM FATIMA RAOUF (MD) with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MARYAM FATIMA RAOUF (MD)?
MARYAM FATIMA RAOUF (MD)'s geographic hint is Maywood, Illinois in our summary view.
Why does MARYAM FATIMA RAOUF (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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Unknown Individual

Anatomic Pathology & Clinical Pathology Physician
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
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