Individual provider Active NPI

Mark Allen Farag, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Des Plaines, IL
National Provider Identifier
1346565991
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036133349 Issued in IL
Practice address
9680 Golf Rd
Des Plaines, IL 60016-1522
Phone
(773) 767-2225
NPI assigned
Apr 6, 2010
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036133349 IL Primary

Addresses

Primary practice location

9680 Golf Rd
Des Plaines, IL 60016-1522

Mailing address

9680 Golf Rd
Des Plaines, IL 60016-1522
Phone (630) 985-4700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mfarag283372@direct.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150720001807 IL Practitioner - AnesthesiologyPractitioner - Pain Management 7416260468 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Rush Medical College of Rush University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Illinois Anesthesia Specialists LLCGroup PAC ID 6103115076, 3 clinicians
River Road Anesthesia Specialists LLCGroup PAC ID 4789096793, 6 clinicians

Practice addresses (Care Compare)

1644 E 53Rd St
Chicago, IL 60615-4210
Phone (773) 752-6340

1644 E 53Rd St
Chicago, IL 60615-4489
Phone (630) 985-4700

2007 75TH St
Woodridge, IL 60517-2308
Phone (630) 985-4700

9700 E Golf Rd
Des Plaines, IL 60016-1566
Phone 63041077002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Lenox Anesthesia LLC CurrentSince Apr 27, 2021 Accepting new patients
Sahag LLC CurrentSince May 31, 2024 Accepting new patients
Midwest Anesthesia and Pain Specialists, SC Pain Medicine CurrentSince Jul 13, 2015 Accepting new patients
Midwest Anesthesia and Pain Specialists SC CurrentSince Jul 13, 2015 Accepting new patients
Illinois Anesthesia Specialists LLC CurrentSince Apr 13, 2016 Accepting new patients
Allied Anesthesia Associates, P.C. CurrentSince Jul 30, 2020 Accepting new patients

Locations

403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999

1644 E 53rd St
Chicago, IL 60615
Phone (773) 241-6450

1644 E 53rd St
Ste 108A
Chicago, IL 60615

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

2923 N California Ave
Ste 210
Chicago, IL 60618
Phone (773) 348-6876

4354 W 63rd St
Chicago, IL 60629
Phone (773) 482-5800

9680 Golf Rd
Des Plaines, IL 60016
Phone (773) 362-2917

9700 E Golf Rd
Des Plaines, IL 60016
Phone (630) 410-7700

3545 Rose St
Franklin Park, IL 60131
Phone (847) 671-0555

17680 Kedzie Ave
Ste 103
Hazel Crest, IL 60429
Phone (708) 799-1717

1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100

678 Cedar Crossings Dr
New Lenox, IL 60451
Phone (708) 499-5678

2007 75th St
Woodridge, IL 60517
Phone (630) 991-2454

Organizations & group practices 7

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1346565991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "630-985-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "773-767-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAG",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036133349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfarag283372@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9680 Golf Rd",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600161522",
            "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": "9680 Golf Rd",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600161522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.