MARYAM N SHAHIN MD
NPI 1033672787
Student in an Organized Health Care Education/Training Program in Portland, OR
About Maryam N Shahin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYAM N SHAHIN MD (NPI 1033672787) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maryam N Shahin Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Maryam Shahin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Shahin's NPI number?
The NPI number for Maryam Shahin is 1033672787. It was assigned to this individual provider in the NPPES registry on April 10, 2019.
Where is Maryam Shahin located?
Maryam Shahin practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.
What is Maryam Shahin'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 Shahin enrolled in Medicare?
Yes. Maryam Shahin 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.
Which organization bills Medicare for Maryam Shahin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Shahin reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryam Shahin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maryam Shahin was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Maryam N Shahin, MD · NPI 1033672787
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 10, 2019.
## Identity
- **NPI:** 1033672787 (Entity type: Individual)
- **Enumerated:** April 10, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3098
- **Phone:** (503) 494-8211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033672787) · Data from the CMS NPPES public registry.