DARYLL HANNAH AMID TAHIYAM
NPI 1316705239
Nurse Practitioner - Adult Health in Chicago, IL
About Daryll Hannah Amid Tahiyam NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARYLL HANNAH AMID TAHIYAM (NPI 1316705239) is an individual adult health provider in Chicago, Illinois, licensed in Illinois (209029302) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Ingalls Memorial Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Daryll Hannah Amid Tahiyam is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ingalls Memorial Hospital
Acute Care Hospitals · Harvey, ILPhysician 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.
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 Daryll Hannah Tahiyam's NPI number?
The NPI number for Daryll Hannah Tahiyam is 1316705239. It was assigned to this individual provider in the NPPES registry on March 6, 2024.
Where is Daryll Hannah Tahiyam located?
Daryll Hannah Tahiyam practices at 5841 S Maryland Ave Rm 4602, Chicago, IL 60637. The listed phone number is (773) 702-6222.
What is Daryll Hannah Tahiyam's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Daryll Hannah Tahiyam enrolled in Medicare?
Yes. Daryll Hannah Tahiyam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Daryll Hannah Tahiyam affiliated with any hospitals?
According to CMS data, Daryll Hannah Tahiyam is affiliated with Ingalls Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Daryll Hannah Tahiyam was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Daryll Hannah Amid Tahiyam · NPI 1316705239
Adult Health physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 6, 2024.
## Identity
- **NPI:** 1316705239 (Entity type: Individual)
- **Enumerated:** March 6, 2024
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 209029302 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5841 S MARYLAND AVE RM 4602, Chicago, IL 60637-1443
- **Phone:** (773) 702-6222 · **Fax:** (773) 702-9076
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1316705239) · Data from the CMS NPPES public registry.