NPIMap

Individual provider Active NPI

Michael Faris Musharbash, MD

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1184179178
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01096416A Issued in IN
Practice address
240 E Huron St
Suite 1-200
Chicago, IL 60611-2909
Phone
(312) 503-7975
NPI assigned
Aug 18, 2016
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 316821 NY
Emergency Medicine Physician 207P00000X 01096416A IN Primary

Addresses

Primary practice location

240 E Huron St
Suite 1-200
Chicago, IL 60611-2909

Mailing address

511 W 44TH St Apt 10C
New York, NY 10036-4172
Phone (708) 769-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240514003444 NY Practitioner - Emergency Medicine 4981045507 Reassigns benefits to 2 organizations
I20250617003503 IN Practitioner - Emergency Medicine 4981045507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-1600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01096416AINMDEmergency Medicine Physician
316821NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 1, 2024 Accepting new patients
Cep America LLC Single Specialty Current Accepting new patients
New York University Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty Current Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Apr 19, 2024 Accepting new patients
Cep America LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Apr 19, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951

Interoperability endpoints

  • Direct secure messaging: mmusharbash311129@nyumc.direct-ci.com
  • Direct secure messaging: mmusharbash991747@nychhc.direct-ci.com

Organizations & group practices 8

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 3

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1184179178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W 44TH ST APT 10C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364172",
            "telephone_number": "708-769-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E HURON ST",
            "address_2": "SUITE 1-200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112909",
            "telephone_number": "312-503-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHARBASH",
        "first_name": "MICHAEL",
        "middle_name": "FARIS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "316821",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01096416A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.