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DR. MARYAM SANATI M.D.
NPI 1932298890
Internal Medicine in Chicago, IL

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
500 EAST 51ST ST, PROVIDENT HOSPITAL OF COOK COUNTY, CHICAGO, IL 60615(312) 572-2000 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 30, 2021, Dec 10, 2020, Sep 14, 2020 (3 updates tracked since 2020).

About Dr. Maryam Sanati M.d. NPPES

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

DR. MARYAM SANATI M.D. (NPI 1932298890) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036-107096) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1932298890
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARYAM SANATICredential: M.D.
Location Address500 EAST 51ST ST, PROVIDENT HOSPITAL OF COOK COUNTYChicago, IL 60615
Mailing Address310 E 17th StChicago, IL 60616-1157 · (312) 212-1844
Phone(312) 572-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 11, 2006
Last NPPES UpdateApril 30, 20213 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1932298890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-107096
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 ListedSpecialistTaxonomy 174400000X · License 036-107096 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 036-107096 (IL)
500 EAST 51ST ST, Chicago, IL 60615
Open in Google Maps ↗

Other Identifiers 1

Other036-107096IL · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Maryam Sanati 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 ID6103008065
PECOS Enrollment IDI20110314000686
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60615 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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 Sanati's NPI number?

The NPI number for Maryam Sanati is 1932298890. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Maryam Sanati located?

Maryam Sanati practices at 500 East 51st St Provident Hospital Of Cook County, Chicago, IL 60615. The listed phone number is (312) 572-2000.

What is Maryam Sanati's specialty?

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

Is Maryam Sanati enrolled in Medicare?

Yes. Maryam Sanati 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.

What insurance does Maryam Sanati accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Maryam Sanati as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maryam Sanati affiliated with any hospitals?

According to CMS data, Maryam Sanati is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Maryam Sanati was last updated on April 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.