Maryam M Pasha, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036.155534 Issued in IL

Practice address

1023 N Liberty St
Jacksonville, FL 32206-5767

Phone

(305) 988-5262

NPI assigned

Jul 23, 2006

Last updated

Feb 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, CA, NC, AZ, GA, NY, TX, IL8 enrollments

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 8

Specialty

Emergency Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Statera Health Care LLCGroup PAC ID 0244565729, 41 clinicians

Outer Banks Professional Services, LLCGroup PAC ID 3173652096, 163 clinicians

Heartland Emergency Physicians PLLCGroup PAC ID 5698278836, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Massac Memorial Hospital Hospital, Metropolis, IL, CCN 141323
• The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324
• Auburn Community Hospital Hospital, Auburn, NY, CCN 330235
• Community Hospital of Staunton Hospital, Staunton, IL, CCN 141306
• Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 42)

Interoperability endpoints

• Direct secure messaging: mpasha41912@santaclaravalley.direct-ci.net

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

• Heartland Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1346122983
  Medicare reassignment Care Compare group NPD
• Outer Banks Professional Services, LLC

  dba Outer Banks Hospital Urgent Care

  • Multi-Specialty Clinic/Center
  • Nags Head, NC
  • NPI 1891050357

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Statera Health Care, LLC

  • Emergency Medicine Physician
  • Harrisburg, IL
  • NPI 1043874449
  Medicare reassignment Care Compare group NPD
• Florida Emergency Physicians Kang and Associates MD LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Orlando, FL
  • NPI 1811983752
  Medicare reassignment NPD
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1912283110
  Medicare reassignment NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment NPD
• Emergency Physicians Associates Fremont PC

  • Emergency Medicine Physician
  • Fremont, CA
  • NPI 1790250967
  Medicare reassignment NPD
• Emergency Physicians Associates San Jose PC

  • Emergency Medicine Physician
  • San Jose, CA
  • NPI 1306311576
  Medicare reassignment NPD
• Emergency Physicians of South Texas PLLC

  • Emergency Medicine Physician
  • Harlingen, TX
  • NPI 1477310779
  Medicare reassignment NPD
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  Medicare reassignment NPD
• Integrative Emergency Services Physician Group-Houston PLLC

  dba IES Houston

  • Emergency Medicine Physician
  • Pasadena, TX
  • NPI 1801458708
  Medicare reassignment NPD

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

• Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
  • NPI 1093712911
  Care Compare affiliation
• Community Hospital of Staunton

  • Critical Access Hospital
  • Staunton, IL
  • NPI 1750308631
  Care Compare affiliation
• Massac Memorial Hospital

  • Critical Access Hospital
  • Metropolis, IL
  • NPI 1790788578
  Care Compare affiliation
• Sampson Regional Medical Center

  • General Acute Care Hospital
  • Clinton, NC
  • NPI 1609857432
  Care Compare affiliation
• The Outer Banks Hospital Inc

  • Critical Access Hospital
  • Nags Head, NC
  • NPI 1053375253
  Care Compare affiliation

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1689695611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N HOGAN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024201",
            "telephone_number": "305-988-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 N LIBERTY ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322065767",
            "telephone_number": "305-988-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASHA",
        "first_name": "MARYAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME78800",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.155534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004678-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Madison Pasciuto
• Jacqueline Villacorta Pasco, MD
• Gynnie Pascual, PT
• Jorge Pascual, MD
• Thomas E Pascual, PA-C
• Scott Anthony Pasieta, DDS, MS
• Teena Olandesca Pasion
• Randi Jones Pasket, MCD, CCC-SLP
• Quanteshia Pasley, DOULA
• Nicholas Passarelli

• Emergency Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.