Individual provider Active NPI

Farid Karimi, M.D.

  • Psychiatry Physician
  • Orland Park, IL
National Provider Identifier
1053407486
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036078525 Issued in IL
Practice address
11235 Distinctive Dr
Orland Park, IL 60467
Phone
(708) 479-5555
Fax
(708) 479-5055
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grand Prairie Services 5 clinicians

Practice addresses (Care Compare)

11235 Distinctive Dr
Orland Park, IL 60467-9458
Phone (708) 479-5555

19530 Kedzie Ave
Flossmoor, IL 60422-1778
Phone (708) 444-1012

450 W Lincoln Hwy
Chicago Heights, IL 60411-2463
Phone (708) 444-1012

450W Lincoln Hwy
Chicago Heights, IL 60411-2463
Phone (708) 444-1012

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
I20041230000422 IL Practitioner - PsychiatryPractitioner - Other (Physician) 8527026939 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Prairie Services CurrentSince Jun 6, 2012 Accepting new patients
Farid Karimi, M.D., P.C. Psychiatry CurrentSince Jan 1, 2005 Accepting new patients
Illinois Department of Human Services CurrentSince Jan 14, 2019 Accepting new patients
Grand Prairie Services CurrentSince Jun 6, 2012 Accepting new patients
Grand Prairie Services Current Accepting new patients
Illinois Department of Human Services CurrentSince Jan 14, 2019 Accepting new patients
Illinois Department of Human Services Current Accepting new patients
Advanced Care Solutions, Inc. Past Accepting new patients
Premier Behavioral Health Services, P.C. Past Accepting new patients

Locations

1315 Lehmen Dr
Chester, IL 62233
Phone (618) 826-4571

450 W Lincoln Hwy
Chicago Heights, IL 60411
Phone (708) 503-9670

19530 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-2200

11235 Distinctive Dr
Orland Park, IL 60467
Phone (708) 479-5555

100 S Grand Ave E
Springfield, IL 62762

Interoperability endpoints

  • Direct secure messaging: farid.karimi.p30@direct.fhn-fqhc.nextgenshare.com
  • Direct secure messaging: farid.karimi.1@29472.direct.athenahealth.com

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036078525 IL Primary

Addresses

Primary practice location

11235 Distinctive Dr
Orland Park, IL 60467

Mailing address

11235 Distinctive Dr
Orland Park, IL 60467-9458
Phone (708) 479-5555

Other identifiers 11

IdentifierTypeStateIssuer
363791861OtherILCIGNA
PVPB4797OtherILAPS
218330OtherILMHN
036078525MedicaidIL
363791861OtherILHUMANA
67M18OtherILEMPIRE BCBS
31604099OtherILBCBS
056828OtherILVALUE OPTIONS
DC2977OtherILRR MEDICARE
110539OtherILCOMPSYCH
363791861OtherILUNITED HEALTHCARE

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1053407486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11235 DISTINCTIVE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679458",
            "telephone_number": "708-479-5555",
            "fax_number": "708-479-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11235 DISTINCTIVE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-479-5555",
            "fax_number": "708-479-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIMI",
        "first_name": "FARID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036078525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "363791861",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "PVPB4797",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "218330",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078525",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "363791861",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "67M18",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31604099",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "056828",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC2977",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "110539",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "363791861",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.