MARIYAM ALAM PA-C
NPI 1740087394
Physician Assistant in Lake Forest, IL

Q: What is Mariyam Alam's NPI number?

The NPI number for Mariyam Alam is 1740087394. It was assigned to this individual provider in the NPPES registry on February 28, 2025.

Q: What is Mariyam Alam's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mariyam Alam was last updated on June 24, 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.

Active since February 28, 2025PECOS EnrolledAccepts Medicare Assignment

1000 N WESTMORELAND RD, LAKE FOREST, IL 60045(847) 234-5600(847) 535-7203 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, Feb 28, 2025 (2 updates tracked since 2025).

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About Mariyam Alam Pa-c NPPES

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

MARIYAM ALAM PA-C (NPI 1740087394) is an individual physician assistant in Lake Forest, Illinois, licensed in Illinois (085011180) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1740087394

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARIYAM ALAMCredential: PA-C

Location Address1000 N WESTMORELAND RDLake Forest, IL 60045-1658

Mailing Address1000 N Westmoreland RdLake Forest, IL 60045-1658 · (847) 234-5600 · Fax (847) 535-7203

Phone(847) 234-5600

Fax(847) 535-7203

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 28, 2025

Last NPPES UpdateJune 24, 20252 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1740087394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085011180

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1000 N WESTMORELAND RD, Lake Forest, IL 60045

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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 and accepts Medicare assignment

Mariyam Alam Pa-c 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 ID6507383114

PECOS Enrollment IDI20250507002211

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

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

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.

CONSOLIDATED PATHOLOGY CONSULTANTS SC

Pathology (Anatomic Pathology & Clinical Pathology)