MAYA MEDICAL CENTERS SC
NPI 1093974800
General Practice in Evergreen Park, IL
About Maya Medical Centers Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYA MEDICAL CENTERS SC (NPI 1093974800) is a healthcare organization registered as a general practice in Evergreen Park, Illinois and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Hanan Yousif, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maya Medical Centers Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Maya Medical Centers Sc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2107761
Maya Medical Centers Sc · Evergreen Park, ILFrequently 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 Maya Medical Centers Sc's NPI number?
The NPI number for Maya Medical Centers Sc is 1093974800. It was assigned to this organization in the NPPES registry on June 6, 2008.
Where is Maya Medical Centers Sc located?
Maya Medical Centers Sc is located at 3830 W 95th St, Evergreen Park, IL 60805. The listed phone number is (708) 422-1363.
What is Maya Medical Centers Sc's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Maya Medical Centers Sc enrolled in Medicare?
Yes. Maya Medical Centers Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maya Medical Centers Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Maya Medical Centers Sc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (1) and Hospitalist (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Maya Medical Centers Sc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2107761) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Maya Medical Centers Sc accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Maya Medical Centers Sc 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 Maya Medical Centers Sc was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Maya Medical Centers Sc · NPI 1093974800
General Practice organization in Evergreen Park, Illinois. Organization record, active in the CMS NPPES registry since June 6, 2008.
## Identity
- **NPI:** 1093974800 (Entity type: Organization)
- **Enumerated:** June 6, 2008
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Hanan Yousif, PRACTICE MANAGER
## Practice location
- **Address:** 3830 W 95TH ST, Evergreen Park, IL 60805-2004
- **Phone:** (708) 422-1363 · **Fax:** (708) 422-1256
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1), Hospitalist (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2015
- **Other identifiers:** Medicaid 036110790 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093974800) · Data from the CMS NPPES public registry.