Maryam Shittu, MD - Medicare Internal Medicine in New Berlin, WI

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Maryam Shittu, MD is a medicare enrolled "Internal Medicine" physician in New Berlin, Wisconsin. She graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Ascension Medical Group-fox Valley Wisconsin Inc and her current practice location is 3333 S Sunny Slope Rd Ste 108, New Berlin, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 317-9660.

Maryam Shittu is licensed to practice in Wisconsin (license number 63075-20) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689922882.

Contact Information

Maryam Shittu, MD
3333 S Sunny Slope Rd Ste 108,
New Berlin, WI 53151-4504
(262) 317-9660
(262) 317-9650

Map and Direction




Physician's Profile

Full NameMaryam Shittu
GenderFemale
SpecialityInternal Medicine
Experience22 Years
Location3333 S Sunny Slope Rd Ste 108, New Berlin, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Maryam Shittu graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1689922882
  • Provider Enumeration Date: 08/17/2012
  • Last Update Date: 02/10/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1456572155
  • Enrollment ID: I20141022000761

Medical Identifiers

Medical identifiers for Maryam Shittu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689922882NPI-NPPES
100040739MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 63075-20 (Wisconsin)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Medical Group-fox Valley Wisconsin Inc0244142420256

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maryam Shittu allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-fox Valley Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameAscension Ne Wisconsin, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407803638
PECOS PAC ID: 7719897784
Enrollment ID: O20061027000037

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maryam Shittu is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maryam Shittu, MD
3333 S Sunny Slope Rd Ste 108,
New Berlin, WI 53151-4504

Ph: (262) 317-9660		Maryam Shittu, MD
3333 S Sunny Slope Rd Ste 108,
New Berlin, WI 53151-4504

Ph: (262) 317-9660

Reviews and Comments


Internal Medicine Doctors in New Berlin, WI

Andrew J Catanzaro, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 12901 W National Avenue, New Berlin, WI 53151
Phone: 262-782-7770    Fax: 262-782-7780
Dr. Frederick L Schaumberg, D.O.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 13700 W National Ave, Suite 207, New Berlin, WI 53151
Phone: 262-797-8600    Fax: 262-797-9122
Sirisha Paruchuri, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4805 S Moorland Rd, New Berlin, WI 53151
Phone: 262-798-7200    Fax: 262-798-7201
Steve I Chang, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12555 W National Ave Ste 200, New Berlin, WI 53151
Phone: 262-754-2555    Fax: 262-754-2552
Dr. Roger Ven Torres, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12555 W National Ave, #201, New Berlin, WI 53151
Phone: 262-754-8005    Fax: 262-754-8003
Beverly R. Ness, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14555 W National Ave, New Berlin, WI 53151
Phone: 262-827-3636    
Malaika Mathai, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14555 W National Ave, Suite 170, New Berlin, WI 53151
Phone: 262-827-3636    Fax: 262-827-3626

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.