MARYAM MOIN M.D.
NPI 1700455078
Psychiatry & Neurology - Neurology in Peoria, IL

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment
530 NE GLEN OAK AVENUE, PEORIA, IL 61637(309) 655-2702 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2025, Dec 5, 2022, Jun 22, 2021 (3 updates tracked since 2021).

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 Saint Francis Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1700455078
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMARYAM MOINCredential: M.D.
Location Address530 NE GLEN OAK AVENUEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvenuePeoria, IL 61637-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 22, 2021
Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1700455078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IL · 036176646
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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 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.

PECOS PAC ID8527464486
PECOS Enrollment IDI20250918001431
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.

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

Physician 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.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Physical Therapist
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Radiology (Diagnostic Radiology)
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Psychiatry & Neurology (Epilepsy)
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Speech-Language Pathologist
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVENUE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVENUE
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.

Is Maryam Moin affiliated with any hospitals?

According to CMS data, Maryam Moin is affiliated with Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr 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 10 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.