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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Pacific Heritage Medical Group Inc
1,770 mi
Geriatric Psychiatry
3625 E THOUSAND OAKS BLVD STE 232
Westlake Village, CA 91362
  • Reassigned Medicare billing, Illinois enrollment
  • 23 clinicians in this Medicare group
NPI 1467899450 (805) 601-5199

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 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
Quality80.79
Promoting Interoperability100
Improvement Activities40

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.

Which organization bills Medicare for Maryam Hazeghazam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Hazeghazam reassigns Medicare benefits to Pacific Heritage Medical Group Inc (Westlake Village, CA). The 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 Maryam Hazeghazam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maryam Hazeghazam accept?

Health plans from Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Maryam Hazeghazam 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 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.