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MARIAM KHABSA MD
NPI 1710565254
Internal Medicine in Mchenry, IL

Active since March 29, 2021PECOS Enrolled
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050(815) 344-5000 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2021, Mar 29, 2021 (2 updates tracked since 2021).

About Mariam Khabsa Md NPPES

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

MARIAM KHABSA MD (NPI 1710565254) is an individual internal medicine provider in Mchenry, Illinois, licensed in Illinois (125.078395) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710565254
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARIAM KHABSACredential: MD
Location Address4201 W MEDICAL CENTER DRMchenry, IL 60050-8409
Mailing Address4201 W Medical Center DrMchenry, IL 60050-8409
Phone(815) 344-5000
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
✔ NPI 1710565254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125.078395
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
4201 W MEDICAL CENTER DR, Mchenry, IL 60050
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariam Khabsa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIGIN HEYDARI MD
Student in an Organized Health Care Education/Training Program
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000
DR. KEILLA AMORIM SCHMIDT M.D.
Surgery (Surgical Critical Care)
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 759-4530
CENTEGRA CLINICAL LABORATORIES, LLC
Clinical Medical Laboratory
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 759-4800
DR. CORY EDWARD MELLON MD
Hospitalist
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 759-4323
SAAD AHMAD WARAICH M.D
Internal Medicine
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000
SNEHA KUMAR
Internal Medicine
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000
DR. SHAWN MARTEN FALITZ M.D.
Anesthesiology
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000
ADRIENNE B MEJIA MD MPH
Anesthesiology
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000

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 Mariam Khabsa's NPI number?

The NPI number for Mariam Khabsa is 1710565254. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Mariam Khabsa located?

Mariam Khabsa practices at 4201 W Medical Center Dr, Mchenry, IL 60050. The listed phone number is (815) 344-5000.

What is Mariam Khabsa's specialty?

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

Is Mariam Khabsa enrolled in Medicare?

Yes. Mariam Khabsa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariam Khabsa was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.