MARYAM HELEN HAZEGHAZAM M.D, PHD
NPI 1245524404
Psychiatry & Neurology - Psychiatry in Chicago, IL

Q: What is Maryam Hazeghazam's NPI number?

The NPI number for Maryam Hazeghazam is 1245524404. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Q: What is Maryam Hazeghazam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Maryam Hazeghazam was last updated on November 1, 2021. 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 June 06, 2011PECOS Enrolled

93.08/100

CMS Quality Rating

820 S DAMEN AVE, CHICAGO, IL 60612(847) 570-2540 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2021, Aug 29, 2018, Aug 15, 2016 (3 updates tracked since 2016).

On this page

About Maryam Helen Hazeghazam M.d, Phd NPPES

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

MARYAM HELEN HAZEGHAZAM M.D, PHD (NPI 1245524404) is an individual psychiatry provider in Chicago, Illinois, licensed in Illinois (036147180) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1245524404

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameMARYAM HELEN HAZEGHAZAMCredential: M.D, PHD

Location Address820 S DAMEN AVEChicago, IL 60612-3728

Mailing Address820 S Damen AveChicago, IL 60612-3728

Phone(847) 570-2540

Sole ProprietorNo

Enumeration DateJune 6, 2011

Last NPPES UpdateNovember 1, 20213 updates tracked since enumeration

NPPES CertifiedOctober 14, 2021

✔ NPI 1245524404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IL · 036147180

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

820 S DAMEN AVE, Chicago, IL 60612

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Secondary Practice Location 1

Location 12650 Ridge Ave., Department of PsychiatryEvanston, IL 60201-1718 · Phone (847) 570-2540

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 Helen Hazeghazam M.d, Phd 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 60612 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

$183.39 typical visit price

range $60.08 – $183.39

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

Most-billed visit code 99205

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

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.

NISHA MEHTA

Pharmacist

820 S DAMEN AVE, PHARMACY (119)
CHICAGO, IL 60612

Cook County (312) 569-5906

MICHAEL FUNG PHD

Psychologist (Clinical)

820 S DAMEN AVE
CHICAGO, IL 60612

Cook County (312) 569-6975

ROBERTA J THOMPSON MSW

Social Worker (Clinical)

820 S DAMEN AVE
CHICAGO, IL 60612

Cook County (312) 569-7588

MS. JOLINE L. LABEDIS LCSW

Social Worker (Clinical)

820 S DAMEN AVE, ROOM 8456
CHICAGO, IL 60612

Cook County (312) 569-6972

DR. ARDITA TALI

Nuclear Medicine

820 S DAMEN AVE
CHICAGO, IL 60612

Cook County (312) 569-6435

JESSE BROWN VA MEDICAL CENTER

Military Hospital (Military General Acute Care Hospital)

820 S DAMEN AVE
CHICAGO, IL 60612

Cook County (312) 569-8387

DR. PETER F. FORE M.D.

Psychiatry & Neurology (Psychiatry)

820 S DAMEN AVE, MAILCODE 116A
CHICAGO, IL 60612

Cook County (312) 569-7201

MARISSA MAHONEY PHARMD

Pharmacist (Pharmacotherapy)

820 S DAMEN AVE
CHICAGO, IL 60612

Cook County (312) 569-6820

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 Hazeghazam's NPI number?

The NPI number for Maryam Hazeghazam is 1245524404. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Maryam Hazeghazam located?

Maryam Hazeghazam practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (847) 570-2540.

What is Maryam Hazeghazam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Maryam Hazeghazam enrolled in Medicare?

Yes. Maryam Hazeghazam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryam Hazeghazam was last updated on November 1, 2021. 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.