Active NPI
Fahhad Imtiaz Farukhi, MD
- Hospitalist Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036130008
- Practice address
- 410 N Michigan Ave Ste 1020
Chicago, IL 60611-4241 - Phone
- (847) 809-6862
- NPI assigned
- Jun 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036130008 | IL | |
| Internal Medicine Physician | 207R00000X | 57.012657 | OH | |
| Hospitalist Physician | 208M00000X | 036130008 | IL | Primary |
Addresses
Primary practice location
410 N Michigan Ave Ste 1020
Chicago, IL 60611-4241
Mailing address
481 Saunders Rd
Lake Forest, IL 60045-2566
Phone (847) 809-6862
Other practice location 1
University Hospitals of Cleveland
11100 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-1000
Other practice location 2
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Other practice location 3
2650 Ridge Ave
Evanston, IL 60201-1700
Phone (847) 570-2000
Other practice location 4
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-4325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
650 W Taylor St
Vandalia, IL 62471-1227
Phone (618) 283-5444
Hospital & facility affiliations
- FHN Memorial Hospital
- Sarah Bush Lincoln Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.012657 | OH | MD | Internal Medicine Physician |
| 036130008 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group, Wisconsin, S.C | Internal Medicine | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Deaconess Hospital Inc | Hospitalist | Current | Accepting new patients |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Ashtabula County, LTD | Internal Medicine | Past | Accepting new patients |
| Apogee Medical Group Oklahoma Inc | Hospitalist | Past | Accepting new patients |
Locations
2525 E Camelback Rd
Ste 1100
Phoenix, AZ 85016
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Pulmonary Disease Physician
- Owensboro, KY
- NPI 1841822327
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Hospitalist Physician
- Henderson, KY
- NPI 1194579672
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
- Hospitalist Physician
- Scottsdale, AZ
- NPI 1215192307
-
- Internal Medicine Physician
- Ashtabula, OH
- NPI 1669523726
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1376749341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 SAUNDERS RD",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600452566",
"telephone_number": "847-809-6862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N MICHIGAN AVE STE 1020",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114241",
"telephone_number": "847-809-6862"
}
],
"practiceLocations": [
{
"address_1": "University Hospitals of Cleveland",
"address_2": "11100 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "44106",
"country_code": "US",
"telephone_number": "216-844-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"fax_number": "815-599-7974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2650 Ridge Ave",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602011700",
"country_code": "US",
"telephone_number": "847-570-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Health Center Dr",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384644",
"country_code": "US",
"telephone_number": "217-238-4325",
"fax_number": "217-348-4290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARUKHI",
"first_name": "FAHHAD",
"middle_name": "IMTIAZ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036130008",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.012657",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036130008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.