Active NPI
Suhail Istanbouly, MD
- Pulmonary Disease Physician
- Herrin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036098950
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036098950 | Medicaid | IL | |
| DO2564 | Other | IL | RAILROAD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Marshall Browning Hospital Association
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 351019 | LA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Harrisburg Medical Center Inc | Current | Accepting new patients | |
| Marshall Browning Hospital Association | Current | Accepting new patients | |
| Marshall Browning Hospital Association | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Pulmonary Disease | Current | Accepting new patients |
| Marshall Browning Hospital Association | Past | 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
- 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.
-
dba Deaconess IL Specialty 3331 DeYoung
- Surgery Physician
- Marion, IL
- NPI 1972210235
Pulmonary Disease
-
- Internal Medicine Physician
- Monroe, LA
- NPI 1134405087
-
- General Acute Care Hospital
- Harrisburg, IL
- NPI 1396878658
-
- Critical Access Hospital
- Du Quoin, IL
- NPI 1821099441
-
- Pulmonary Disease Physician
- Herrin, IL
- NPI 1124282462
-
dba Deaconess Care Group Illinois Union County
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
-
dba Deaconess IL Specialty 3329 DeYoung
- Orthopaedic Surgery Physician
- Marion, IL
- NPI 1386351856
-
dba MBH East Medical Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1912490277
-
dba Marshall Browning Hospital Physicians Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1164666988
-
- Chiropractor
- Hays, KS
- NPI 1366594566
-
dba Snodgrass Rural Medical Clinic
- Rural Health Clinic/Center
- Dighton, KS
- NPI 1194770297
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Deaconess Illinois Medical Center
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
- Critical Access Hospital
- Du Quoin, IL
- NPI 1821099441
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.