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DARYLL HANNAH AMID TAHIYAM
NPI 1316705239
Nurse Practitioner - Adult Health in Chicago, IL

Active since March 06, 2024PECOS EnrolledAccepts Medicare Assignment
5841 S MARYLAND AVE RM 4602, CHICAGO, IL 60637(773) 702-6222(773) 702-9076 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1316705239
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDARYLL HANNAH AMID TAHIYAM
Location Address5841 S MARYLAND AVE RM 4602Chicago, IL 60637-1443
Mailing Address1124 Camellia Dr Apt 3Munster, IN 46321-3620 · (773) 968-3355
Phone(773) 702-6222
Fax(773) 702-9076
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1316705239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209029302
5841 S MARYLAND AVE RM 4602, 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 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.

PECOS PAC ID2860937752
PECOS Enrollment IDI20240716001390
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 Reassignments

2

Medicare enrollment records show Daryll Hannah Tahiyam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
Same address
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 635 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
Same address
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

Which organizations bill Medicare for Daryll Hannah Tahiyam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daryll Hannah Tahiyam reassigns Medicare benefits to 2 organizations: The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, IL). Each 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 Daryll Hannah Tahiyam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.