Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARYAM JAMEELAH ADISA
NPI 1134869522
Family Medicine in Merrillville, IN

Q: What is Maryam Adisa's NPI number?

The NPI number for Maryam Adisa is 1134869522. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Q: What is Maryam Adisa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Maryam Adisa was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 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.

Active since April 01, 2022PECOS Enrolled

751 E 81ST AVE, MERRILLVILLE, IN 46410(219) 791-9389 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Maryam Jameelah Adisa NPPES

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

MARYAM JAMEELAH ADISA (NPI 1134869522) is an individual family medicine provider in Merrillville, Indiana, licensed in Indiana (02008985A) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134869522

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARYAM JAMEELAH ADISA

Location Address751 E 81ST AVEMerrillville, IN 46410-5538

Mailing Address751 E 81st AveMerrillville, IN 46410-5538 · (219) 791-9389

Phone(219) 791-9389

Sole ProprietorYes

Enumeration DateApril 1, 2022

Last NPPES UpdateJuly 6, 2026

NPPES CertifiedJuly 6, 2026

✔ NPI 1134869522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 02008985A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

751 E 81ST AVE, Merrillville, IN 46410

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryam Jameelah Adisa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI M BIGGS NP-C

Nurse Practitioner