Individual provider Active NPI

Fariha Agha, M.D.

  • Family Medicine Physician
  • Oak Brook, IL
National Provider Identifier
1235217381
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036103441 Issued in IL
Practice address
600 Enterprise Dr
Ste 218
Oak Brook, IL 60523-4200
Phone
(630) 620-0320
Fax
(630) 620-0306
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036103441 IL Primary

Addresses

Primary practice location

600 Enterprise Dr
Ste 218
Oak Brook, IL 60523-4200

Mailing address

600 Enterprise Dr
Ste 218
Oak Brook, IL 60523-4200
Phone (630) 620-0320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000094 IL Practitioner - Family Practice 8820013022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

600 Enterprise Dr
Suite 218
Oak Brook, IL 60523-4200
Phone (630) 620-0320

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065
  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue173
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Brook Urology LTD Current Accepting new patients

Locations

2425 W 22nd St
Ste 201
Oak Brook, IL 60523
Phone (630) 990-2440

2425 W 22nd St
Ste 216
Oak Brook, IL 60523
Phone (630) 990-4244

600 Enterprise Dr
Ste 218
Oak Brook, IL 60523
Phone (630) 620-0320

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1235217381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ENTERPRISE DR",
            "address_2": "STE 218",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234200",
            "telephone_number": "630-620-0320",
            "fax_number": "630-620-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ENTERPRISE DR",
            "address_2": "STE 218",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234200",
            "telephone_number": "630-620-0320",
            "fax_number": "630-620-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHA",
        "first_name": "FARIHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036103441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.