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MARYAM HERMEZ MD, MPH
NPI 1710726831
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 20, 2024PECOS Enrolled
4260 PLYMOUTH RD # LEVEL2, ANN ARBOR, MI 48109(734) 539-5080 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maryam Hermez Md, Mph NPPES

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

MARYAM HERMEZ MD, MPH (NPI 1710726831) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351052195) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710726831
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARYAM HERMEZCredential: MD, MPH
Location Address4260 PLYMOUTH RD # LEVEL2Ann Arbor, MI 48109-2700
Mailing Address1200 E Hospital Dr. D3230Ann Arbor, MI 48109 · (734) 647-1774
Phone(734) 539-5080
Sole ProprietorNo
Enumeration DateMay 20, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1710726831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351052195
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4260 PLYMOUTH RD # LEVEL2, Ann Arbor, MI 48109
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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)

Maryam Hermez Md, Mph 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.

Other Providers at the Same Location NPPES 3

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

DR. MARK ADAM DURHAM MD, PHD
Student in an Organized Health Care Education/Training Program
4260 PLYMOUTH RD # LEVEL2
ANN ARBOR, MI 48109
Washtenaw County (734) 539-5080
DR. LAUREN ELISABETH KARNOLT MD
Student in an Organized Health Care Education/Training Program
4260 PLYMOUTH RD # LEVEL2
ANN ARBOR, MI 48109
Washtenaw County (734) 539-5080
DR. MARK DULCHAVSKY MD PHD
Student in an Organized Health Care Education/Training Program
4260 PLYMOUTH RD # LEVEL2
ANN ARBOR, MI 48109
Washtenaw County (734) 539-5080

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 Hermez's NPI number?

The NPI number for Maryam Hermez is 1710726831. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Maryam Hermez located?

Maryam Hermez practices at 4260 Plymouth Rd # Level2, Ann Arbor, MI 48109. The listed phone number is (734) 539-5080.

What is Maryam Hermez'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 Hermez enrolled in Medicare?

Yes. Maryam Hermez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryam Hermez was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.