NPIMap

Individual provider Active NPI

Christopher Farrar, M.D.

  • Hospitalist Physician
  • Maryville, IL
National Provider Identifier
1023084712
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036106586 Issued in IL
Practice address
6800 State Route 162
Maryville, IL 62062-8500
Phone
(618) 288-4095
Fax
(618) 288-2984
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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 036106586 IL
Hospitalist Physician 208M00000X 036106586 IL Primary

Addresses

Primary practice location

6800 State Route 162
Maryville, IL 62062-8500

Mailing address

1 McBride and Son Center Dr
Ste150
Chesterfield, MO 63005-1425

Other identifiers 2

IdentifierTypeStateIssuer
36106586MedicaidIL
P00237918OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000659 IL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9234183500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Geisel School of Medicine at Dartmouth, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Inpatient Anderson Health IncGroup PAC ID 3072908474, 46 clinicians

Practice addresses (Care Compare)

6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036106586ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Inpatient Anderson Health, Inc CurrentSince Feb 1, 2022 Accepting new patients
Midwest Emergency Anderson Health, Inc CurrentSince Feb 1, 2022 Accepting new patients
Alton Multispecialists, LTD. Internal Medicine Past Accepting new patients
Illinois Hospitalists, PC Internal Medicine Past Accepting new patients

Locations

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1023084712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MCBRIDE AND SON CENTER DR",
            "address_2": "STE150",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 STATE ROUTE 162",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628500",
            "telephone_number": "618-288-4095",
            "fax_number": "618-288-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036106586",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036106586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36106586",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00237918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.