Individual provider Active NPI

Mostafa Abdul-Rahman Farache, MD

  • Neurology Physician
  • Carbondale, IL
National Provider Identifier
1366646879
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
50637 Issued in MN
Practice address
305 W Jackson St Ste 103
Carbondale, IL 62901-1474
Phone
(618) 351-4972
Fax
(618) 351-6522
NPI assigned
Jun 11, 2007
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 50637 MN Primary
Neurology Physician 2084N0400X 25IA12907000 NJ
Neurology Physician 2084N0400X 2025024854 MO
Neurology Physician 2084N0400X W0804 TX
Neurology Physician 2084N0400X 036158130 IL

Addresses

Primary practice location

305 W Jackson St Ste 103
Carbondale, IL 62901-1474

Mailing address

16513 Haven Ave
Orland Hills, IL 60487-5637
Phone (218) 786-8364

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mfarache85756@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, MO, TX, NJ5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20211220002249 IL Practitioner - Neurology 7618041740 Reassigns benefits to 2 organizations
I20220615000892 IN Practitioner - Neurology 7618041740 Reassigns benefits to 2 organizations
I20251006000330 MO Practitioner - Neurology 7618041740 Reassigns benefits to 1 organization
I20251223004116 TX Practitioner - Neurology 7618041740 Reassigns benefits to 1 organization
I20260407000964 NJ Practitioner - Neurology 7618041740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Neurology Associates PCGroup PAC ID 3779710660, 3 clinicians
Nuview Health Indiana PCGroup PAC ID 6103169966, 43 clinicians
ICU NJ PCGroup PAC ID 4082836697, 21 clinicians
Nuview Health Texas PAGroup PAC ID 1951674464, 18 clinicians
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians

Practice addresses (Care Compare)

1100 Joliet St
Suite 201
Dyer, IN 46311-1995
Phone (219) 836-2096

2101 E Dubios Dr
Warsaw, IN 46580-3210
Phone (561) 299-3667

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (561) 299-3667

2425 W 22ND St
Suite 205
Oak Brook, IL 60523-4650
Phone (219) 836-2096

2901 4TH St
Longview, TX 75605-5128
Phone 5612993667208

305 W Jackson St
Suite 103
Carbondale, IL 62901-1474
Phone (618) 351-4972

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (561) 299-3667

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25IA12907000NJMDNeurology Physician
W0804TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Midwest Neurology Associates PC Neurology CurrentSince Jan 1, 2022 Accepting new patients
Nuview Health Indiana PC CurrentSince Mar 24, 2025 Accepting new patients
Nuview Telehealth, LLC Neurology CurrentSince Oct 4, 2025 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Oct 20, 2025 Accepting new patients
Nuview Health Texas PA Neurology CurrentSince Dec 1, 2025 Accepting new patients
MN Imaging Center PastSince Jul 25, 2019 Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

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

305 W Jackson St
Ste 103
Carbondale, IL 62901
Phone (618) 351-4972

2425 W 22nd St
Ste 205
Oak Brook, IL 60523
Phone (630) 974-1400

1100 Joliet St
Ste 201
Dyer, IN 46311
Phone (219) 392-7194

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBDDD/Endpoint/BBBDDD
  • Direct secure messaging: mfarache85756@sih.direct-ci.com
  • Direct secure messaging: mostafa.farache@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 9

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.

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1366646879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16513 HAVEN AVE",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604875637",
            "telephone_number": "218-786-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W JACKSON ST STE 103",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011474",
            "telephone_number": "618-351-4972",
            "fax_number": "618-351-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARACHE",
        "first_name": "MOSTAFA",
        "middle_name": "ABDUL-RAHMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "50637",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25IA12907000",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2025024854",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "W0804",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036158130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfarache85756@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "305 W Jackson St Ste 103",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.