Fairview Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAIRVIEW MEDICAL GROUP LLC

Practice address

4972 Benchmark Centre Dr Ste 400
Swansea, IL 62226-2070

Phone

(618) 632-3343

Fax

(618) 206-6281

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Mounir Shenouda, MDNPI 1235180043

Title

Partner

Phone

(618) 632-3343

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12893/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mounir Shenouda, MD

  • Internal Medicine Physician
  • Swansea, IL
  • NPI 1235180043
  Medicare reassignment Care Compare group Authorized official
• Philip Chu, MD

  • Internal Medicine Physician
  • Swansea, IL
  • NPI 1396797841
  Medicare reassignment Care Compare group
• Douglas Basso, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
  • NPI 1295191112
  NPD
• Jessica Morgan, APN

  • Nurse Practitioner
  • Scott Afb, IL
  • NPI 1134190432
  NPD (past)
• Dhawesuk Tang, MD

  • Internal Medicine Physician
  • Fairview Heights, IL
  • NPI 1508817321
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1427009232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SALEM PLACE",
            "address_2": "STE 140",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "62208",
            "telephone_number": "618-632-3343",
            "fax_number": "618-632-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 BENCHMARK CENTRE DR STE 400",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262070",
            "telephone_number": "618-632-3343",
            "fax_number": "618-206-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "SHENOUDA",
        "authorized_official_first_name": "MOUNIR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "618-632-3343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evercare of Swansea LLC
• Evervella of Swansea LLC
• Ewing Blue Counseling PLLC
• Felicia K Ewing, LCPC
• Eye Surgery Center, LTD.
• Fazillah Faiz, PA-C
• Homer Ashton Ferguson Jr., M.D.
• Nathan Ferguson
• Figure 8 Integrative Health & Wellness LLC
• First Care Express Care LLC

• Internal Medicine Physician in Swansea, IL
• Providers in Swansea, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.