NPIMap

Individual provider Active NPI

Fayez Mekhael, M.D.

  • Family Medicine Physician
  • Downers Grove, IL
National Provider Identifier
1235329384
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36118957 Issued in IL
Practice address
1311 Butterfield Rd Ste 306
Downers Grove, IL 60515-5666
Phone
(630) 445-1022
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 36118957 IL Primary

Addresses

Primary practice location

1311 Butterfield Rd Ste 306
Downers Grove, IL 60515-5666

Mailing address

2136 Mark Cir
Bolingbrook, IL 60490-4915

Other identifiers 1

IdentifierTypeStateIssuer
036118957MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000481 IL Practitioner - Family PracticePractitioner - Addiction Medicine 8921198086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians

Practice addresses (Care Compare)

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4425

Hospital & facility affiliations

  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36118957ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Health and Wellness Center Inc Family Medicine CurrentSince Nov 24, 2025 Accepting new patients
Suburban Emergency Physicians Group, SC Past Accepting new patients
Emergency Medical Specialist, S.C Past Accepting new patients
Emergency Medical Specialists, II, S.C. Past Accepting new patients
Emergency Room Care Providers, S.C. PastSince Jul 25, 2019 Accepting new patients

Locations

1311 Butterfield Rd
Ste 306
Downers Grove, IL 60515
Phone (630) 276-3291

Interoperability endpoints

  • Direct secure messaging: fmekhael@direct.ccprovider.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGACDD
  • FHIR API: https://api.platform.athenahealth.com/17944/brand/1/csg/1/fhir/r4

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 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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1235329384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 MARK CIR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 BUTTERFIELD RD STE 306",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155666",
            "telephone_number": "630-445-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKHAEL",
        "first_name": "FAYEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36118957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118957",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.