AYESHA C CHIEM
NPI 1073349262
Nurse Practitioner - Family in El Segundo, CA
About Ayesha C Chiem NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AYESHA C CHIEM (NPI 1073349262) is an individual family provider in El Segundo, California, licensed in Pennsylvania (SP030041) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ayesha C Chiem is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Ayesha Chiem reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hackensack, NJ 07601
- Reassigned Medicare billing, Pennsylvania enrollment
- 52 clinicians in this Medicare group
Hackensack, NJ 07601
- Reassigned Medicare billing, Pennsylvania enrollment
- 43 clinicians in this Medicare group
Hackensack, NJ 07601
- Reassigned Medicare billing, Pennsylvania enrollment
- 42 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90245 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EL SEGUNDO, CA 90245
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 Ayesha Chiem's NPI number?
The NPI number for Ayesha Chiem is 1073349262. It was assigned to this individual provider in the NPPES registry on September 12, 2024.
Where is Ayesha Chiem located?
Ayesha Chiem practices at 300 Continental Blvd Ste 560, El Segundo, CA 90245. The listed phone number is (310) 658-3775.
What is Ayesha Chiem's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ayesha Chiem enrolled in Medicare?
Yes. Ayesha Chiem is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ayesha Chiem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ayesha Chiem reassigns Medicare benefits to 3 organizations: Ennoble Hc Nj PC (Hackensack, NJ), Ennoble Hc Nj II PC (Hackensack, NJ) and Ennoble Hc Nj III PC (Hackensack, NJ). Each 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 Ayesha Chiem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ayesha Chiem accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ayesha Chiem 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.
When was this NPI record last updated?
The NPPES record for Ayesha Chiem was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.
# Ayesha C Chiem · NPI 1073349262
Family physician in El Segundo, California. Individual provider, active in the CMS NPPES registry since September 12, 2024.
## Identity
- **NPI:** 1073349262 (Entity type: Individual)
- **Enumerated:** September 12, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP030041 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 CONTINENTAL BLVD STE 560, El Segundo, CA 90245-5030
- **Phone:** (310) 658-3775
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ennoble Hc Nj PC (NPI 1306500764, Hackensack, NJ); Ennoble Hc Nj II PC (NPI 1871475806, Hackensack, NJ); Ennoble Hc Nj III PC (NPI 1043192099, Hackensack, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073349262) · Data from the CMS NPPES public registry.