Maryam Shittu, MD
NPI 1689922882ActiveIndividual· Internal Medicine· New Berlin, WI
Internal Medicine (MD) with Ascension Medical Group-Fox Valley Wisconsin, Inc, practicing in New Berlin, Wisconsin. 71 Medicare patients in 2024, $12,961 paid; nearly all of their 113 Part D prescriptions were generic (91%). Lists Ascension Ne Wisconsin - St Elizabeth Campus as a hospital affiliation.
Overview
| NPI | 1689922882 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Aug 17, 2012 |
| Last updated in NPPES | Feb 10, 2026 |
| Certified by provider | Feb 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 63075-20 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 166 across 7 procedure codes |
| Paid by Medicare | $12,961 |
Part D prescriptions in 2024
| Prescriptions (claims) | 113 · 121 30-day fills |
|---|---|
| Patients | 54 |
| Total drug cost | $3,335 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Ascension Medical Group-Fox Valley Wisconsin, IncAppleton, WI · 259 clinicians
Hospital affiliation
- Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 internal medicine physicians in New Berlin · All internal medicine physicians in Wisconsin