Individual provider Active NPI

Farhan Shahab, MD

  • Emergency Medicine Physician
  • Iowa City, IA
National Provider Identifier
1114549417
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R-11767 Issued in IA
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

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20221101001473 IA Practitioner - Emergency Medicine 2961825880 Reassigns benefits to 1 organization
I20230628003735 IL Practitioner - Emergency Medicine 2961825880 Reassigns benefits to 6 organizations

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
Rockford Emergency Physicians, LLCGroup PAC ID 4385007640, 51 clinicians
Belvidere Emergency Physicians, LLCGroup PAC ID 1254794415, 23 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

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

  • Uw Health Hospital, Rockford, IL, CCN 140228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Jul 7, 2023 Accepting new patients
Rockford Health Physicians CurrentSince Dec 8, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 9, 2024 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Rockford Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Trinity Medical Center Emergency Medicine CurrentSince Sep 18, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 7, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Belvidere Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 15, 2023 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.