Individual provider Active NPI

Fahhad Imtiaz Farukhi, MD

  • Hospitalist Physician
  • Chicago, IL
National Provider Identifier
1376749341
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036130008 Issued in IL
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

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130523000406 IL Practitioner - Internal Medicine 4082803176 Reassigns benefits to 2 organizations
I20151104001651 WI Practitioner - Internal Medicine 4082803176 Reassigns benefits to 1 organization
I20240911000645 KY Practitioner - Hospitalist 4082803176 Reassigns benefits to 1 organization

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
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

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 Hospital, Freeport, IL, CCN 140160
  • Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57.012657OHMDInternal Medicine Physician
036130008ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, Wisconsin, S.C Internal Medicine CurrentSince Oct 20, 2015 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Feb 7, 2023 Accepting new patients
Deaconess Hospital Inc CurrentSince May 19, 2024 Accepting new patients
Deaconess Hospital Inc Hospitalist CurrentSince May 19, 2024 Accepting new patients
Freeport Memorial Hospital CurrentSince Jan 1, 2024 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 PastSince Oct 8, 2023 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.