MARYL GOLDBERG SACKEIM MD
NPI 1194136242
Obstetrics & Gynecology in Chicago, IL

Q: What is Maryl Sackeim's NPI number?

The NPI number for Maryl Sackeim is 1194136242. It was assigned to this individual provider in the NPPES registry on May 12, 2014.

Q: What is Maryl Sackeim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Maryl Sackeim was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 12, 2014PECOS Enrolled

5841 S MARYLAND AVE # MC2050, CHICAGO, IL 60637(773) 702-1000 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2022, Jan 3, 2019, Aug 3, 2018 and 1 more (4 updates tracked since 2017).

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About Maryl Goldberg Sackeim Md NPPES

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

MARYL GOLDBERG SACKEIM MD (NPI 1194136242) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036145597) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194136242

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMARYL GOLDBERG SACKEIMCredential: MD

Location Address5841 S MARYLAND AVE # MC2050Chicago, IL 60637-1443

Mailing Address5841 S Maryland AveChicago, IL 60637-1443 · (773) 702-1000

Phone(773) 702-1000

Sole ProprietorYes

Enumeration DateMay 12, 2014

Last NPPES UpdateFebruary 11, 20224 updates tracked since enumeration

✔ NPI 1194136242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036145597

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT206760 (PA)

5841 S MARYLAND AVE # MC2050, Chicago, IL 60637

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryl Goldberg Sackeim Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Maryl Sackeim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

1,797 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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 60637 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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 20

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

MALAVIKA KALYANI PERINCHERY MD

Obstetrics & Gynecology