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MARYAM FATIMA M.D.
NPI 1023747987
Student in an Organized Health Care Education/Training Program in Wilkes-barre, PA

Active since June 07, 2022PECOS EnrolledAccepts Medicare Assignment
1000 E MOUNTAIN DR., WILKES-BARRE, PA 18711(570) 808-7300(570) 808-5967 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2023, Jun 7, 2022 (2 updates tracked since 2022).

About Maryam Fatima M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYAM FATIMA M.D. (NPI 1023747987) is an individual student in an organized health care education/training program in Wilkes-barre, Pennsylvania, licensed in Pennsylvania (MT225537) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023747987
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARYAM FATIMACredential: M.D.
Location Address1000 E MOUNTAIN DR.Wilkes-barre, PA 18711
Mailing Address1000 E Mountain Dr.Wilkes-barre, PA 18711 · (570) 808-7300 · Fax (570) 808-5967
Phone(570) 808-7300
Fax(570) 808-5967
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 7, 2022
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1023747987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · MT225537
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 E MOUNTAIN DR., Wilkes-barre, PA 18711
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maryam Fatima M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759880602
PECOS Enrollment IDI20250818002095
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryam Fatima's NPI number?

The NPI number for Maryam Fatima is 1023747987. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Maryam Fatima located?

Maryam Fatima practices at 1000 E Mountain Dr., Wilkes-Barre, PA 18711. The listed phone number is (570) 808-7300.

What is Maryam Fatima's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maryam Fatima enrolled in Medicare?

Yes. Maryam Fatima is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maryam Fatima accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Maryam Fatima as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maryam Fatima affiliated with any hospitals?

According to CMS data, Maryam Fatima is affiliated with Geisinger-Community Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Maryam Fatima was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.