Individual provider Active NPI

Durr-I-Shahwar Javed, MD

  • Pediatrics Physician
  • Christopher, IL
National Provider Identifier
1275510604
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036055632 Issued in IL
Practice address
4241 Hwy 14 West
Christopher, IL 62822
Phone
(618) 724-2401
Fax
(618) 724-4628
NPI assigned
Dec 28, 2005
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036055632 IL Primary

Addresses

Primary practice location

4241 Hwy 14 West
Christopher, IL 62822

Mailing address

PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401

Other identifiers 3

IdentifierTypeStateIssuer
036055632MedicaidIL
027659OtherHEALTH ALLIANCE
166218OtherHEALTHLINK

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
I20040115000667 IL Practitioner - Pediatric Medicine 4789585506 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036055632ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Greater Area Rural Health Planning Corporation CurrentSince Aug 1, 2014 Accepting new patients
Christopher Greater Area Rural Health Planning Corporation CurrentSince Aug 1, 2014 Accepting new patients
Christopher Greater Area Rural Health Planning Corporation Pediatrics Current Accepting new patients

Locations

4241 Highway 14 W
Christopher, IL 62822
Phone (618) 724-1684

4241 State Highway 14
Christopher, IL 62822
Phone (618) 724-2136

1564 S Washington St
Du Quoin, IL 62832
Phone (618) 542-8702

14410 Route 37
Johnston City, IL 62951
Phone (618) 937-6409

2920 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (618) 244-6544

6294 State Highway 154
Sesser, IL 62884
Phone (618) 625-6679

Interoperability endpoints

  • Direct secure messaging: durri.javed@crhpc.eclinicaldirectplus.com

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, 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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1275510604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 HWY 14 WEST",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "62822",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVED",
        "first_name": "DURR-I-SHAHWAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036055632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055632",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "027659",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "166218",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christopher, IL

Sources for this page

Verify at the official NPI Registry.