Active NPI
Subia Fasih, M.D.
- Internal Medicine Physician
- Burbank, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036115590
- Practice address
- 6345 W 79TH St
Burbank, IL 60459-1133 - Phone
- (312) 609-0300
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036115590 | IL | Primary |
Addresses
Primary practice location
6345 W 79TH St
Burbank, IL 60459-1133
Mailing address
29373 Network PL
Chicago, IL 60673-1077
Phone (847) 390-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036115590 | Other | IL | ILLINOIS LICENSE NUMBER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sfasih217778@myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061107000223 | IL | Practitioner - Internal Medicine | 3678570538 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone (708) 684-5340
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
2320 E 93Rd St
Chicago, IL 60617-3909
Phone (773) 967-3999
4440 W 95TH St
Oak Lawn, IL 60453-2600
9555 S 52ND Ave
Oak Lawn, IL 60453-3054
Phone (708) 634-0950
Hospital & facility affiliations
- Advocate Christ Hospital & Medical Center
- Advocate Trinity Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| The Eye Specialists Center, L.L.C. | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
6345 W 79th St
Burbank, IL 60459
Phone (844) 725-5238
1945 W Wilson Ave
Fl 4
Chicago, IL 60640
Phone (773) 736-6220
29373 Network Pl
Chicago, IL 60673
2545 S Ml King Dr
Chicago, IL 60616
Phone (312) 842-7117
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
Interoperability endpoints
- sfasih217778@direct.myadvocateaurora.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
IL
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Ophthalmology Physician
- Chicago Ridge, IL
- NPI 1699802421
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
Hospital
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
Hospital
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1285740209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731077",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6345 W 79TH ST",
"city": "BURBANK",
"state": "IL",
"postal_code": "604591133",
"telephone_number": "312-609-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASIH",
"first_name": "SUBIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036115590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE NUMBER",
"identifier": "036115590",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sfasih217778@myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6345 W 79th St",
"city": "Burbank",
"state": "IL",
"country_code": "US",
"postal_code": "604591133",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "6345 W 79th St",
"city": "Burbank",
"state": "IL",
"country_code": "US",
"postal_code": "604591133",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burbank, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.