Individual provider Active NPI

Suhail Istanbouly, MD

  • Pulmonary Disease Physician
  • Herrin, IL
National Provider Identifier
1407893886
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036098950 Issued in IL
Practice address
217 S Park Ave
Ste 1
Herrin, IL 62948-3611
Phone
(618) 942-7402
Fax
(618) 942-7402
NPI assigned
Jun 2, 2006
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036098950 IL
Pulmonary Disease Physician 207RP1001X 351019 LA
Pulmonary Disease Physician 207RP1001X 036098950 IL Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 036098950 IL

Addresses

Primary practice location

217 S Park Ave
Ste 1
Herrin, IL 62948-3611

Mailing address

217 S Park Ave Ste 1
Herrin, IL 62948-3611
Phone (618) 942-7402

Other practice location 1

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

Other identifiers 2

IdentifierTypeStateIssuer
036098950MedicaidIL
DO2564OtherILRAILROAD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sistanbouly5397990@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, LA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040719001189 IL Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 3870572100 Reassigns benefits to 3 organizations
I20260515000728 LA Practitioner - Pulmonary Disease 3870572100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians
Marshall Browning Hospital AssociationGroup PAC ID 9335049980, shared by 3 NPIs, 31 clinicians

Practice addresses (Care Compare)

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

3333 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7000

900 N Washington St
Du Quoin, IL 62832-1230

900 N Washington St
Du Quoin, IL 62832-1233
Phone (618) 542-2146

PO Box
Du Quoin, IL 62832-0192

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.51 of 100Reported as group
Quality
49.04
Promoting interoperability
95
Improvement activities
40
Cost
69.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
351019LAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Feb 26, 2024 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Feb 26, 2024 Accepting new patients
Harrisburg Medical Center Inc Current Accepting new patients
Marshall Browning Hospital Association CurrentSince Sep 6, 2017 Accepting new patients
Marshall Browning Hospital Association CurrentSince Sep 6, 2017 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Pulmonary Disease Current Accepting new patients
Marshall Browning Hospital Association PastSince Apr 20, 2025 Accepting new patients
Rural Medical Services Inc Past Accepting new patients
Riverside Chiropractic PA Past Accepting new patients

Locations

900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3106 Outer Dr
Marion, IL 62959
Phone (618) 997-4332

3331 W Deyoung St
Marion, IL 62959
Phone (618) 985-9140

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

Interoperability endpoints

  • Direct secure messaging: suhail.istanbouly.1@27782.direct.athenahealth.com

Organizations & group practices 11

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 3

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1407893886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S PARK AVE STE 1",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483611",
            "telephone_number": "618-942-7402",
            "fax_number": "618-942-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S PARK AVE",
            "address_2": "STE 1",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483611",
            "telephone_number": "618-942-7402",
            "fax_number": "618-942-7402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "fax_number": "318-966-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISTANBOULY",
        "first_name": "SUHAIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036098950",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "351019",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036098950",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036098950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098950",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DO2564",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sistanbouly5397990@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sistanbouly5397990@direct.casso.us.com",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

Verify at the official NPI Registry.