MARYAM ZIA
NPI 1982137626
Internal Medicine - Endocrinology, Diabetes & Metabolism in Danville, KY

Q: What is Maryam Zia's NPI number?

The NPI number for Maryam Zia is 1982137626. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Q: What is Maryam Zia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Maryam Zia was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment

79.11/100

CMS Quality Rating

105 PONCER COURT, SUITE 104, DANVILLE, KY 40422(859) 236-4852 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2022, Apr 10, 2017 (2 updates tracked since 2017).

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About Maryam Zia NPPES

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

MARYAM ZIA (NPI 1982137626) is an individual endocrinology, diabetes & metabolism provider in Danville, Kentucky, licensed in Kentucky (56929) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1982137626

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameMARYAM ZIA

Location Address105 PONCER COURT, SUITE 104Danville, KY 40422

Mailing Address3600 Forbes Ave, Forbes Tower Plaza Suite 140Pittsburgh, PA 15213-3410 · (412) 647-6340

Phone(859) 236-4852

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 10, 2017

Last NPPES UpdateAugust 11, 20222 updates tracked since enumeration

NPPES CertifiedAugust 8, 2022

✔ NPI 1982137626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in KY · 56929

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

105 PONCER COURT, Danville, KY 40422

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Maryam Zia 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 ID2062780034

PECOS Enrollment IDI20220819000406

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

196 services110 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

60 services33 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

42 services42 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180048

Location217 South Third StreetDanville, KY 40422 · Boyle County

Emergency services Birthing friendly

The James B. Haggin Memorial Hospital

Critical Access Hospitals · Harrodsburg, KY

OwnershipVoluntary non-profit - Other

CMS Certification Number181302

Location464 Linden AvenueHarrodsburg, KY 40330 · Mercer County

Emergency services

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181315

Location110 Metker TrailStanford, KY 40484 · Lincoln County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

79.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.52

Promoting Interoperability

100

Improvement Activities

Cost

44.23

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 Zia's NPI number?

The NPI number for Maryam Zia is 1982137626. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Maryam Zia located?

Maryam Zia practices at 105 Poncer Court Suite 104, Danville, KY 40422. The listed phone number is (859) 236-4852.

What is Maryam Zia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Maryam Zia enrolled in Medicare?

Yes. Maryam Zia 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 Zia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Maryam Zia 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 Zia affiliated with any hospitals?

According to CMS data, Maryam Zia is affiliated with Ephraim Mcdowell Regional Medical Center, The James B. Haggin Memorial Hospital and Ephraim Mcdowell Fort Logan Hospital.

When was this NPI record last updated?

The NPPES record for Maryam Zia was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.