Active NPI
Fadi Khir
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125079485
- Practice address
- 4646 N Marine Dr
Chicago, IL 60640-5759 - Phone
- (773) 564-5225
- NPI assigned
- Jun 29, 2022
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125079485 | IL | Primary |
Addresses
Primary practice location
4646 N Marine Dr
Chicago, IL 60640-5759
Mailing address
4646 N Marine Dr
Chicago, IL 60640-5759
Phone (773) 564-5225
Other practice location 1
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136
Hospital & facility affiliations
- Old Colony Hospice, Inc
- South Shore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Medical Center, Inc. | Internal Medicine | Current | Accepting new patients |
| Coastal Medical Associates | Current | Accepting new patients | |
| South Shore Hospital Inc. | Past | Accepting new patients |
Locations
5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200
141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1134851017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 N MARINE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405759",
"telephone_number": "773-564-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 N MARINE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405759",
"telephone_number": "773-564-5225"
}
],
"practiceLocations": [
{
"address_1": "55 Fogg Rd",
"address_purpose": "LOCATION",
"city": "Weymouth",
"state": "MA",
"postal_code": "021902432",
"country_code": "US",
"telephone_number": "781-624-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHIR",
"first_name": "FADI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-29",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125079485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.