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MARYAM LEILA FAMOURI M.D.
NPI 1447783196
Internal Medicine in Madison, WI

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
5249 E TERRACE DR, MADISON, WI 53718(608) 265-1200 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2021, Jul 20, 2021, Sep 21, 2020 and 1 more (4 updates tracked since 2017).

About Maryam Leila Famouri M.d. NPPES

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

MARYAM LEILA FAMOURI M.D. (NPI 1447783196) is an individual internal medicine provider in Madison, Wisconsin, licensed in Wisconsin (75586) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of West Virginia University School Of Medicine (2017).

NPPES Registry Identity

NPI1447783196
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARYAM LEILA FAMOURICredential: M.D.
Location Address5249 E TERRACE DRMadison, WI 53718-8339
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 265-1200
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateOctober 27, 20254 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
✔ NPI 1447783196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WI · 75586✔ Licensed in NC · 2020-00645
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5249 E TERRACE DR, Madison, WI 53718
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Aspirus Health Plan and more.Insurance ›

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

Maryam Leila Famouri M.d. 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 ID1951672450
PECOS Enrollment IDI20210728002587
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
233 services171 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services73 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
31 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53718 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims38 services$5.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARCIA ANGELA BOLLES PA-C
Physician Assistant
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 222-9777
MS. RABECCA CATHERINE COLE LCSW
Social Worker (Clinical)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 251-4156
DR. NORANN RICHARD PHD
Psychologist
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 263-9550
DANIELLE OGNO MS
Social Worker
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 222-9777
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Pharmacy
5249 E TERRACE DR, SUITE 9951
MADISON, WI 53718
Dane County (608) 265-1650
DR. DORTHEA LORINE WHEELER MD, PHD
Psychiatry & Neurology (Psychiatry)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 251-4156
LAUREN JERZAK FNP-BC, APNP
Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 265-1200
MICHAEL N SKAREDOFF MD
Anesthesiology (Pain Medicine)
5249 E TERRACE DR
MADISON, WI 53718
Dane County (608) 263-9550

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 Famouri's NPI number?

The NPI number for Maryam Famouri is 1447783196. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Maryam Famouri located?

Maryam Famouri practices at 5249 E Terrace Dr, Madison, WI 53718. The listed phone number is (608) 265-1200.

What is Maryam Famouri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maryam Famouri enrolled in Medicare?

Yes. Maryam Famouri 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.

What insurance does Maryam Famouri accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and HealthPartners and 2 other insurers list Maryam Famouri 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.

Is Maryam Famouri affiliated with any hospitals?

According to CMS data, Maryam Famouri is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Maryam Famouri was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.