Individual provider Active NPI

Faisel Ahmad, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Marion, IL
National Provider Identifier
1154543916
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
036126730 Issued in IL
Practice address
1200 W Deyoung St
Marion, IL 62959-4437
Phone
(618) 993-5686
Fax
(618) 997-6250
NPI assigned
May 2, 2007
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125-051104 IL
Ophthalmology Physician 207W00000X 036.126730 IL
Retina Specialist (Ophthalmology) Physician 207WX0107X 2011002933 MO
Retina Specialist (Ophthalmology) Physician 207WX0107X 036126730 IL Primary

Addresses

Primary practice location

1200 W Deyoung St
Marion, IL 62959-4437

Mailing address

1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686

Other practice location 1

2900 Broadway St Ste A
Mount Vernon, IL 62864-2341
Phone (618) 244-2777

Other practice location 2

1001 N Beadle Dr
Carbondale, IL 62901-1150
Phone (618) 549-2282

Other practice location 3

520 E North Ave
Flora, IL 62839-2534
Phone (618) 662-3202

Other practice location 4

1201 W Main St
Carmi, IL 62821-1388
Phone (618) 384-5112

Other practice location 5

297 S Silver Springs Rd
Cape Girardeau, MO 63703-6309
Phone (573) 651-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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
I20110224000586 IL Practitioner - Ophthalmology 1153502091 Reassigns benefits to 1 organization
I20110314000085 MO Practitioner - Ophthalmology 1153502091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Southern Illinois University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Eye Centers LTDGroup PAC ID 3072426774, 38 clinicians

Practice addresses (Care Compare)

1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686

297 S Silver Springs Rd
Cape Girardeau, MO 63703-6309
Phone (573) 651-5200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-051104ILMDInternal Medicine Physician
036.126730ILMDOphthalmology Physician
036126730ILMDRetina Specialist (Ophthalmology) Physician
2011002933MOMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Eye Centers LTD. Ophthalmology CurrentSince Jan 1, 2011 Accepting new patients
Marion Eye Centers LTD. Ophthalmology CurrentSince Jan 1, 2011 Accepting new patients

Locations

1001 N Beadle Dr
Carbondale, IL 62901
Phone (618) 457-2123

1201 W Main St
Carmi, IL 62821
Phone (618) 384-5112

1204 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-6220

520 E North Ave
Flora, IL 62839
Phone (618) 662-3202

1200 W Deyoung St
Marion, IL 62959
Phone 61899356861290

2900 Broadway St
#A
Mount Vernon, IL 62864
Phone (618) 244-2777

2900 Broadway St
#B
Mount Vernon, IL 62864
Phone (618) 969-8700

297 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 651-5200

Interoperability endpoints

  • Direct secure messaging: fahmad15663@sih.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1154543916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594437",
            "telephone_number": "618-993-5686",
            "fax_number": "618-997-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594437",
            "telephone_number": "618-993-5686",
            "fax_number": "618-997-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Broadway St Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642341",
            "country_code": "US",
            "telephone_number": "618-244-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 N Beadle Dr",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011150",
            "country_code": "US",
            "telephone_number": "618-549-2282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Flora",
            "state": "IL",
            "postal_code": "628392534",
            "country_code": "US",
            "telephone_number": "618-662-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W Main St",
            "address_purpose": "LOCATION",
            "city": "Carmi",
            "state": "IL",
            "postal_code": "628211388",
            "country_code": "US",
            "telephone_number": "618-384-5112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "297 S Silver Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637036309",
            "country_code": "US",
            "telephone_number": "573-651-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "FAISEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-051104",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.126730",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2011002933",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036126730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.