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FNU AYESHA MD
NPI 1750953394
Internal Medicine in Dolton, IL

Active since July 13, 2021PECOS Enrolled
600 E SIBLEY BLVD, DOLTON, IL 60419(708) 340-7400 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fnu Ayesha Md NPPES

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

FNU AYESHA MD (NPI 1750953394) is an individual internal medicine provider in Dolton, Illinois, licensed in Illinois (036170176) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750953394
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameFNU AYESHACredential: MD
Location Address600 E SIBLEY BLVDDolton, IL 60419-2599
Mailing Address600 E Sibley BlvdDolton, IL 60419-2599 · (708) 340-7400 · Fax (708) 340-7140
Phone(708) 340-7400
Sole ProprietorYes
Enumeration DateJuly 13, 2021
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 19, 2024
✔ NPI 1750953394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036170176
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.
600 E SIBLEY BLVD, Dolton, IL 60419
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fnu Ayesha 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.

Medicare Billing Reassignment

Medicare enrollment records show Fnu Ayesha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pmr Illinois Holding, LLC
1,161 mi
Specialist
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Illinois enrollment
  • 75 clinicians in this Medicare group
NPI 1770038671 (305) 831-4760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60419 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 3

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

PMR ILLINOIS HOLDING, LLC
Non-Pharmacy Dispensing Site
600 E SIBLEY BLVD
DOLTON, IL 60419
Cook County (708) 340-7400
AREEJ RAHMAN
Internal Medicine
600 E SIBLEY BLVD
DOLTON, IL 60419
Cook County (708) 340-7400
ANDREA N SLASURAITIS MD
Internal Medicine
600 E SIBLEY BLVD
DOLTON, IL 60419
Cook County (708) 340-7400

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 Fnu Ayesha's NPI number?

The NPI number for Fnu Ayesha is 1750953394. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Fnu Ayesha located?

Fnu Ayesha practices at 600 E Sibley Blvd, Dolton, IL 60419. The listed phone number is (708) 340-7400.

What is Fnu Ayesha's specialty?

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

Is Fnu Ayesha enrolled in Medicare?

Yes. Fnu Ayesha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fnu Ayesha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fnu Ayesha reassigns Medicare benefits to Pmr Illinois Holding, LLC (Miami Gardens, FL). 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 Fnu Ayesha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fnu Ayesha was last updated on May 22, 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.