Individual provider Active NPI

Bachir Farah, M.D.

  • Hematology & Oncology Physician
  • O Fallon, IL
National Provider Identifier
1336370915
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036136861 Issued in IL
Practice address
321 Regency Park Ste 100
O Fallon, IL 62269-1887
Phone
(618) 416-7970
Fax
(618) 416-7971
NPI assigned
Jul 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036136861 IL Primary

Addresses

Primary practice location

321 Regency Park Ste 100
O Fallon, IL 62269-1887

Mailing address

321 Regency Park Ste 100
O Fallon, IL 62269-1887
Phone (618) 416-7970

Other practice location 1

12860 Troxler Ave Ste 135
Highland, IL 62249-2898
Phone (618) 436-5410

Other practice location 2

9515 Holy Cross Ln Ste 6
Breese, IL 62230-3618
Phone (618) 416-7970

Other practice location 3

900 N Washington St Ste 1
Du Quoin, IL 62832-1233
Phone (618) 985-3333

Other practice location 4

1052 ML King Drive Ste 2
Centralia, IL 62801-3002
Phone (618) 436-5410

Other practice location 5

200 Health Care Dr Ste 1501
Greenville, IL 62246-1154
Phone (618) 436-8063

Other practice location 6

1400 Pin Oak Dr
Carterville, IL 62918-1600
Phone (618) 985-3333

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bfarah15648@sih.direct-ci.com
Direct Messaging Address bfarah15648@sih.direct-ci.com

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
I20150618000388 IL Practitioner - Hematology/Oncology 9638480684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

321 Regency Park
Suite 100
O Fallon, IL 62269-1887
Phone (618) 416-7970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Specialists of Central Illinois, S.C. Hematology & Oncology CurrentSince Oct 1, 2022 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Jul 1, 2015 Accepting new patients
Cancer Care Specialists of Central Illinois, S.C CurrentSince Oct 1, 2022 Accepting new patients

Locations

9515 Holy Cross Ln
Ste 6
Breese, IL 62230
Phone (618) 416-7970

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

1400 Pin Oak Dr
Carterville, IL 62918
Phone (618) 529-3159

1052 M L King Dr
Ste 2
Centralia, IL 62801
Phone (618) 436-5410

210 W McKinley Ave
#1
Decatur, IL 62526
Phone (217) 877-9442

210 W McKinley Ave
Ste 1
Decatur, IL 62526
Phone (217) 876-6600

900 N Washington St
Ste 1
Du Quoin, IL 62832
Phone (618) 985-3333

200 Health Care Dr
Ste 1501
Greenville, IL 62246
Phone (618) 664-9830

12860 Troxler Ave
Ste 135
Highland, IL 62249
Phone (618) 235-3687

321 Regency Park
Ste 100
O Fallon, IL 62269
Phone (618) 416-7970

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1336370915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 REGENCY PARK STE 100",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691887",
            "telephone_number": "618-416-7970",
            "fax_number": "618-416-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 REGENCY PARK STE 100",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691887",
            "telephone_number": "618-416-7970",
            "fax_number": "618-416-7971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12860 Troxler Ave Ste 135",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IL",
            "postal_code": "622492898",
            "country_code": "US",
            "telephone_number": "618-436-5410",
            "fax_number": "618-436-8063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9515 Holy Cross Ln Ste 6",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622303618",
            "country_code": "US",
            "telephone_number": "618-416-7970",
            "fax_number": "618-416-7971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Washington St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Du Quoin",
            "state": "IL",
            "postal_code": "628321233",
            "country_code": "US",
            "telephone_number": "618-985-3333",
            "fax_number": "618-985-1318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1052 ML KING DRIVE STE 2",
            "address_purpose": "LOCATION",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013002",
            "country_code": "US",
            "telephone_number": "618-436-5410",
            "fax_number": "618-436-8063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Health Care Dr Ste 1501",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "IL",
            "postal_code": "622461154",
            "country_code": "US",
            "telephone_number": "618-436-8063",
            "fax_number": "618-436-8063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Pin Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Carterville",
            "state": "IL",
            "postal_code": "629181600",
            "country_code": "US",
            "telephone_number": "618-985-3333",
            "fax_number": "618-985-1318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAH",
        "first_name": "BACHIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036136861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bfarah15648@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "1400 Pin Oak Drive",
            "city": "Carterville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bfarah15648@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "900 N Washington St Ste 1",
            "city": "Du Quoin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628321233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

Verify at the official NPI Registry.