DR. MARIUM ILAHI MD NPI 1003020645

Internal Medicine (Endocrinology, Diabetes & Metabolism) in Omaha, NE

NPI 1003020645 Individual Female Years of Experience 23 Internal Medicine Endocrinology, Diabetes & Metabolism PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for DR. MARIUM ILAHI MD

Marium Ilahi is an internal medicine provider established in Omaha, Nebraska and her medical specialization is internal medicine (endocrinology, diabetes & metabolism) with more than 23 years of experience. The NPI number of Marium Ilahi is 1003020645 and was assigned on May 2007. The practitioner's primary taxonomy code is 207RE0101X with license number 23691 (NE). The provider is registered as an individual and her NPI record was last updated 11 years ago.

An internist like Dr. Marium Ilahi Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Marium Ilahi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Marium Ilahi is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Chi Health Bergan Mercy, Chi Health Lakeside, Chi Health Immanuel and Chi Health Midlands.

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.44 for a new patient copayment and $24.4 for an established patient copayment.

NPI

1003020645

Provider NameDR. MARIUM ILAHI MD
Provider Location Address7710 MERCY RD SUITE 426 OMAHA, NE 68124
Provider Mailing AddressPO BOX 642117 SUITE 426 OMAHA, NE 68164
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2000
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-10-2007
Last Update Date08-01-2011


Primary Taxonomy

Taxonomy Code207RE0101X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationEndocrinology, Diabetes & Metabolism
License No.23691
License StateNE
Taxonomy DescriptionAn internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Business Address

DR. MARIUM ILAHI MD
7710 MERCY RD
SUITE 426
OMAHA, NE
ZIP 68124
Phone: (402) 717-3636
Fax: (402) 717-5050

Get Directions


Mailing Address

DR. MARIUM ILAHI MD
PO BOX 642117
SUITE 426
OMAHA, NE
ZIP 68164
Phone:



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6305912858
PECOS Enrollment IDI20080905000658
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 68124 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.43 $166.14 $125.79
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.6 $41.53 $31.44
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17 $136.31 $97.6
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.25 $34.07 $24.4

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 410Hemoglobin A1C level (HCPCS:83036)
  • 46Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Marium Ilahi is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CHI HEALTH BERGAN MERCY7500 MERCY RD
OMAHA, NE 68124
(402) 398-6060Acute Care Hospitals280060
CHI HEALTH LAKESIDE16901 LAKESIDE HILLS CT
OMAHA, NE 68130
(402) 717-8167Acute Care Hospitals280130
CHI HEALTH IMMANUEL6901 NORTH 72ND ST
OMAHA, NE 68122
(402) 572-2121Acute Care Hospitals280081
CHI HEALTH MIDLANDS11111 SOUTH 84TH ST
PAPILLION, NE 68046
(402) 593-3000Acute Care Hospitals280105

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003020645
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200302068
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 0 + 6 + 8 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003020645 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477555753DR. GERNON A LONGO MD
Individual
Urology7710 MERCY RD STE 608
OMAHA, NE 68124
(402) 399-8166
1093703894DR. TERRENCE FRANCIS CIUREJ M.D.
Individual
Surgery7710 MERCY RD SUITE 209
OMAHA, NE 68124
(402) 392-1030
1538149414 LUKE T NORDQUIST M.D.
Individual
Internal Medicine (Hematology & Oncology)7710 MERCY RD SUITE 122
OMAHA, NE 68124
(402) 393-3110
1457321614 SHERYL P SHANNON APRN
Individual
Nurse Practitioner7710 MERCY RD SUITE 122
OMAHA, NE 68124
(402) 393-3110
1366491318MR. BRIAN MATTHEW HOESING PA
Individual
Physician Assistant (Surgical)7710 MERCY RD SUITE 224
OMAHA, NE 68124
(402) 399-8550
1346297546 SCOTT TAYLOR MCMULLEN M.D.
Individual
Orthopaedic Surgery7710 MERCY RD SUITE 224
OMAHA, NE 68124
(402) 399-8550
1033150677 RICHARD MICHAEL GROSS M.D.
Individual
Orthopaedic Surgery7710 MERCY RD SUITE 224
OMAHA, NE 68124
(402) 399-8550
1033150610 SAMUEL P PHILLIPS M.D.
Individual
Orthopaedic Surgery7710 MERCY RD SUITE 224
OMAHA, NE 68124
(402) 399-8550
1760402507OMAHA CARDIAC SURGERY, P.C.
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)7710 MERCY RD SUITE 332
OMAHA, NE 68124
(402) 827-5500
1528080348DR. DWAINE J PEETZ JR. M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)7710 MERCY RD SUITE 332
OMAHA, NE 68124
(402) 827-5500
1023031796 THOMAS L CONNOLLY M.D.
Individual
Internal Medicine (Infectious Disease)7710 MERCY RD SUITE 601
OMAHA, NE 68124
(402) 397-5236
1639193527MRS. KATHRYN ANN NEWCOMB M.A., CCC-A
Individual
Audiologist7710 MERCY RD SUITE 322
OMAHA, NE 68124
(402) 932-1999
1578578258MARK J. MILONE, M.D., P.C.
Organization
Internal Medicine (Gastroenterology)7710 MERCY RD #606
OMAHA, NE 68124
(402) 397-4144
1033228895MRS. KERI DEAN PHILLIPS RP
Individual
Pharmacist7710 MERCY RD
OMAHA, NE 68124
(402) 398-6781
1164528956OMAHA GASTROENTEROLOGY CONSULTANTS PC
Organization
Internal Medicine (Gastroenterology)7710 MERCY RD SUITE 330
OMAHA, NE 68124
(402) 397-8040
1376649103 LEANN M SAYLOR ARNP
Individual
Nurse Practitioner7710 MERCY RD #606
OMAHA, NE 68124
(402) 397-4144
1518050848 JAMES DAVID IMBROCK M.D.
Individual
Surgery7710 MERCY RD SUITE 309
OMAHA, NE 68124
(402) 399-9313
1770670234MR. LONNIE RICHARD MERCIER MD
Individual
Orthopaedic Surgery7710 MERCY RD STE 224
OMAHA, NE 68124
(402) 399-8550
1093804700DR. PAUL STEFFES M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)7710 MERCY RD
OMAHA, NE 68124
(402) 717-3636
1104944628DR. LISA K JOHNSON PHARM D
Individual
Pharmacist7710 MERCY RD MEDICAL BUILDING PHARMACY
OMAHA, NE 68124
(402) 398-6781

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Marium Ilahi Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.