Active NPI
Farhan Shahab, MD
- Emergency Medicine Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R-11767
- Practice address
- 200 Hawkins Drive
Dept. of Emergency Medicine
Iowa City, IA 52242 - Phone
- (319) 356-2233
- NPI assigned
- May 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R-11767 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Drive
Dept. of Emergency Medicine
Iowa City, IA 52242
Mailing address
200 Hawkins Drive
Dept. of Emergency Medicine
Iowa City, IA 52242
Phone (224) 545-3830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 E State St
Rockford, IL 61104-2315
Phone (779) 696-4400
1625 S State St
Belvidere, IL 61008-5907
Phone (815) 547-5441
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Rockford Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Trinity Medical Center | Emergency Medicine | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Belvidere Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Trinity Medical Center | Current | Accepting new patients | |
| Unity Healthcare | Current | Accepting new patients |
Locations
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110
1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Belvidere, IL
- NPI 1306543319
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Emergency Medicine Physician
- Rockford, IL
- NPI 1639876634
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Internal Medicine Physician
- Muscatine, IA
- NPI 1629122742
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1114549417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DRIVE",
"address_2": "DEPT. OF EMERGENCY MEDICINE",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "224-545-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DRIVE",
"address_2": "DEPT. OF EMERGENCY MEDICINE",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-356-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHAB",
"first_name": "FARHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "R-11767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.