MARYAM MAKHDOOM MD
NPI 1689568891
Student in an Organized Health Care Education/Training Program in Evanston, IL
About Maryam Makhdoom Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYAM MAKHDOOM MD (NPI 1689568891) is an individual student in an organized health care education/training program in Evanston, Illinois and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.
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 (PECOS)
Maryam Makhdoom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
EVANSTON, IL 60202
EVANSTON, IL 60202
EVANSTON, IL 60202
EVANSTON, IL 60202
EVANSTON, IL 60202
EVANSTON, IL 60202
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 Makhdoom's NPI number?
The NPI number for Maryam Makhdoom is 1689568891. It was assigned to this individual provider in the NPPES registry on June 4, 2025.
Where is Maryam Makhdoom located?
Maryam Makhdoom practices at 355 Ridge Ave, Evanston, IL 60202. The listed phone number is (847) 316-4000.
What is Maryam Makhdoom's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Maryam Makhdoom enrolled in Medicare?
Yes. Maryam Makhdoom is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Maryam Makhdoom was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Maryam Makhdoom, MD · NPI 1689568891
Student in an Organized Health Care Education/Training Program provider in Evanston, Illinois. Individual provider, active in the CMS NPPES registry since June 4, 2025.
## Identity
- **NPI:** 1689568891 (Entity type: Individual)
- **Enumerated:** June 4, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 355 RIDGE AVE, Evanston, IL 60202-3399
- **Phone:** (847) 316-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689568891) · Data from the CMS NPPES public registry.