Individual provider Active NPI

Fares W Sweis, MD

  • Family Medicine Physician
  • Elkhorn, WI
National Provider Identifier
1083095814
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
70382-20 Issued in WI
Practice address
839 N Wisconsin St
Elkhorn, WI 53121-1138
Phone
(262) 741-1400
Fax
(262) 741-1401
NPI assigned
Jun 17, 2015
Last updated
May 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301107861 MI
Family Medicine Physician 207Q00000X 70382-20 WI Primary
Hospitalist Physician 208M00000X 036156533 IL
Hospitalist Physician 208M00000X 70382-20 WI

Addresses

Primary practice location

839 N Wisconsin St
Elkhorn, WI 53121-1138

Mailing address

839 N Wisconsin St
Elkhorn, WI 53121-1138
Phone (262) 741-1400

Other practice location 1

4009 Orchard Dr
Midland, MI 48640-6122
Phone (989) 839-3500

Other practice location 2

875 S. Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

Other practice location 3

3922 Mercy Dr
McHenry, IL 60050-3179
Phone (815) 578-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191004000148 WI Practitioner - Family Practice 1254644735 Reassigns benefits to 1 organization
I20210903001040 IL Practitioner - Family Practice 1254644735 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036156533ILMDHospitalist Physician
70382-20WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC Family Medicine CurrentSince Oct 7, 2025 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
First Docs PC Hospitalist CurrentSince Jun 30, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 10, 2019 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 10, 2019 Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

2349 Main St
Batavia, IL 60510
Phone (331) 232-6200

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1000 E Brighton Ln
Crystal Lake, IL 60012
Phone (815) 455-8400

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

1760 Capital St
Elgin, IL 60124
Phone (847) 531-6004

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

3922 Mercy Dr
McHenry, IL 60050
Phone (815) 344-4499

550 Ridgeview Dr
McHenry, IL 60050
Phone (800) 455-6768

1525 Oxford Ln
Naperville, IL 60565
Phone (224) 441-7428

850 Dunham Rd
St Charles, IL 60174
Phone (630) 443-4400

176 Thomas Ct
Wauconda, IL 60084
Phone (847) 526-5551

2406 Hartland Rd
Woodstock, IL 60098
Phone (815) 338-0312

309 McHenry Ave
Woodstock, IL 60098
Phone (212) 595-0005

839 N Wisconsin St
Elkhorn, WI 53121
Phone (262) 723-5055

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ignite Medical Batavia, LLCBatavia, IL, CCN 146200 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2025
Sep 23, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 6

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1083095814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 N WISCONSIN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211138",
            "telephone_number": "262-741-1400",
            "fax_number": "262-741-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 N WISCONSIN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211138",
            "telephone_number": "262-741-1400",
            "fax_number": "262-741-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4009 Orchard Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486406122",
            "country_code": "US",
            "telephone_number": "989-839-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 S. Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "60014",
            "country_code": "US",
            "telephone_number": "779-220-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3922 Mercy Dr",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600503179",
            "country_code": "US",
            "telephone_number": "815-578-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEIS",
        "first_name": "FARES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301107861",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "70382-20",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036156533",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "70382-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, WI

Sources for this page

Verify at the official NPI Registry.