Farid F Shafaie, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

L6173 Issued in TX

Practice address

3249 South Oak Park Ave.
Berwyn, IL 60402

Phone

(708) 783-3152

Fax

(708) 783-3164

NPI assigned

May 23, 2006

Last updated

Apr 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 10

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA, TX, FL, IL, NY, DE6 enrollments

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 6

Specialty

Diagnostic Radiology

Education

Eastern Virginia Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians

Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Bayhealth Radiologists LLCGroup PAC ID 0446601876, 91 clinicians

Pco PCGroup PAC ID 5395179329, 82 clinicians

Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians

On-Line Radiology Medical Group IncGroup PAC ID 0648311548, 66 clinicians

Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians

Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Thorek Radiology Group NFPGroup PAC ID 1658786421, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
• Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115
• Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
• Humboldt Park Health Hospital, Chicago, IL, CCN 140206
• Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 44)

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8699/brand/1/csg/1/fhir/r4

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.

• Bonaventure Medical Foundation, LLC

  dba Alexian Brothers Medical Foundation

  • Family Medicine Physician
  • Elk Grove Village, IL
  • NPI 1588775647
  Medicare reassignment Care Compare group NPD
• Humboldt Park Health

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1740417153
  Medicare reassignment Care Compare group NPD
• Rockford Health Physicians

  dba Mercyhealth Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886
  Medicare reassignment Care Compare group NPD
• Thorek Radiology Group NFP

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1588261978
  Medicare reassignment Care Compare group NPD
• Bayhealth Radiologists LLC

  • Diagnostic Radiology Physician
  • Dover, DE
  • NPI 1366214124

  IL

  Medicare reassignment Care Compare group NPD
• Central Valley Community Medical Imaging

  dba Cmi

  • Diagnostic Radiology Physician
  • Fresno, CA
  • NPI 1376637264

  IL

  Medicare reassignment Care Compare group NPD
• Interfaith Professional Physician Services, P.C.

  dba OBH Physician Associates

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1457643991

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Lubbock County Hospital District

  dba UMC Radiology

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1437170313
  Medicare reassignment Care Compare group NPD
• Pco PC

  dba PCO Radiology PC

  • Diagnostic Radiology Physician
  • Lowville, NY
  • NPI 1881230563

  IL

  Medicare reassignment Care Compare group NPD
• On-Line Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Riverside, CA
  • NPI 1710158498

  IL

  Medicare reassignment Care Compare group
• Carle West Physician Group Inc

  • Family Medicine Physician
  • Normal, IL
  • NPI 1467074138
  Medicare reassignment NPD
• East Central Illinois Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Danville, IL
  • NPI 1912277443
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
  • NPI 1265577191
  Care Compare affiliation
• Humboldt Park Health

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1972594877
  Care Compare affiliation
• Northwest Community Hospital

  dba Endeavor Health Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1578932869
  Care Compare affiliation
• Northwest Community Hospital

  dba Endeavor Health Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1770531600
  Care Compare affiliation
• Riverside Medical Center

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1538208210
  Care Compare affiliation
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1306891841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 IOWA AVE STE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077401",
            "telephone_number": "951-786-0801",
            "fax_number": "708-783-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 SOUTH OAK PARK AVE.",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "708-783-3152",
            "fax_number": "708-783-3164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 E Riverside Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611142300",
            "country_code": "US",
            "telephone_number": "815-971-7000",
            "fax_number": "815-968-4795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1840",
            "fax_number": "302-733-1633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFAIE",
        "first_name": "FARID",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0025650",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101049809",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "036107562",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D57087",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME134254",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L6173",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-07-4492-S",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "110062",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NV",
            "license": "12090",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-107562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361075621",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300134723",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gricel Serrano, LCPC
• Karina Servin Jimenez, M.A., LPC
• Belen Servin-Johnson
• Yesenia Servin, CPMSM
• Desmond Yao Seli Seshie
• Mitisha M Shah, MHS, PT
• Payal Shah, D.D.S.
• Tiffany Sham, DO
• Krystal Shanklin
• Jeffrey Shapiro

• Diagnostic Radiology Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.

Verify at the official NPI Registry.