Individual provider Active NPI

Maryana Yaremko, MD

  • Hospitalist Physician
  • McHenry, IL
National Provider Identifier
1407134661
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036135956 Issued in IL
Practice address
4309 W Medical Center Dr Ste A102
McHenry, IL 60050-8436
Phone
(815) 338-6600
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036135956 IL
Hospitalist Physician 208M00000X 036135956 IL Primary

Addresses

Primary practice location

4309 W Medical Center Dr Ste A102
McHenry, IL 60050-8436

Mailing address

4309 W Medical Center Dr Ste A102
McHenry, IL 60050-8436
Phone (815) 338-6600

Other practice location 1

1333 Butterfield Rd
Ste 130
Downers Grove, IL 60515-5607
Phone (630) 371-0133 ext. 57255

Other identifiers 1

IdentifierTypeStateIssuer
036135956MedicaidIL

Other names 1

  • Maryana Stetsiv Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141003001002 IL Practitioner - Internal MedicinePractitioner - Hospitalist 8325268873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4201 W Medical Ctr Dr
McHenry, IL 60050-8409
Phone (815) 759-4323

4309 W Medical Ctr Dr
Suite A200
McHenry, IL 60050-8437
Phone (815) 759-8070

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036135956ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Apr 20, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 20, 2021 Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

11650 S State Route 47
Huntley, IL 60142
Phone (847) 802-7300

10400 Haligus Rd
Huntley, IL 60142
Phone (224) 654-0000

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407134661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE A102",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508436",
            "telephone_number": "815-338-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE A102",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508436",
            "telephone_number": "815-338-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Butterfield Rd",
            "address_2": "Ste 130",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605155607",
            "country_code": "US",
            "telephone_number": "630-371-0133 x57255",
            "fax_number": "630-371-0138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAREMKO",
        "first_name": "MARYANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036135956",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036135956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036135956",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANA",
            "last_name": "STETSIV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.