MARYAM MOIN M.D.
NPI 1700455078
Psychiatry & Neurology - Neurology in Peoria, IL
About Maryam Moin M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYAM MOIN M.D. (NPI 1700455078) is an individual neurology provider in Peoria, Illinois, licensed in Illinois (036176646) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Maryam Moin 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.
Medicare Billing Reassignment
Medicare enrollment records show Maryam Moin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary Medical Center
Acute Care Hospitals · Galesburg, ILSaint Francis Medical Center
Acute Care Hospitals · Peoria, ILOsf Saint Elizabeth Mdl Ctr
Acute Care Hospitals · Ottawa, ILSaint James Hospital
Acute Care Hospitals · Pontiac, ILOsf Saint Clare Medical Center
Critical Access Hospitals · Princeton, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
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 Moin's NPI number?
The NPI number for Maryam Moin is 1700455078. It was assigned to this individual provider in the NPPES registry on June 22, 2021.
Where is Maryam Moin located?
Maryam Moin practices at 530 NE Glen Oak Avenue, Peoria, IL 61637. The listed phone number is (309) 655-2702.
What is Maryam Moin's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Maryam Moin enrolled in Medicare?
Yes. Maryam Moin 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 organization bills Medicare for Maryam Moin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Moin reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). 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 Moin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maryam Moin accept?
Health plans from Dean Health Plan list Maryam Moin 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 Moin affiliated with any hospitals?
According to CMS data, Maryam Moin is affiliated with St Mary Medical Center, Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, Saint James Hospital and Osf Saint Clare Medical Center.
When was this NPI record last updated?
The NPPES record for Maryam Moin was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 Moin, M.D. · NPI 1700455078
Neurology physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since June 22, 2021.
## Identity
- **NPI:** 1700455078 (Entity type: Individual)
- **Enumerated:** June 22, 2021
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 036176646 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 NE GLEN OAK AVENUE, Peoria, IL 61637-0001
- **Phone:** (309) 655-2702
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700455078) · Data from the CMS NPPES public registry.