Mandana Faghani, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

125054453 Issued in IL

Practice address

1111 Superior St Ste 101
Melrose Park, IL 60160-4100

Phone

(708) 344-2161

NPI assigned

Jan 28, 2011

Last updated

Jan 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Acute Care Associates of California PC

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1194588392
  Medicare reassignment NPD
• Pacific Advanced Kidney Solutions Inc

  • Specialist
  • Torrance, CA
  • NPI 1992160501
  Medicare reassignment NPD
• MDRX Medical PC

  • Internal Medicine Physician
  • Tinley Park, IL
  • NPI 1821237199
  NPD (past)
• Olympia Fields Eyecare, LTD.

  • Ophthalmology Physician
  • Flossmoor, IL
  • NPI 1598762007
  NPD (past)
• Specialty Physicians of Illinois, LLC

  • Urgent Care Clinic/Center
  • Frankfort, IL
  • NPI 1962024612
  NPD (past)
• Franciscan Physician Network

  • Clinic/Center
  • Lafayette, IN
  • NPI 1992543250
  NPD (past)
• Petrel Emergency Physicians, a Medical Corporation

  • Emergency Medicine Physician
  • Marina del Rey, CA
  • NPI 1154734663
  NPD (past)

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1558667170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 PLEASANT ST",
            "address_2": "APT# 1A",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023059",
            "telephone_number": "708-567-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST STE 101",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604100",
            "telephone_number": "708-344-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGHANI",
        "first_name": "MANDANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125054453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomas A Estacio, PT
• Peter Evelio Eupierre, M.D.
• Evan J. Samett M.D.S.C. (Chicago Center for Advance Therapies)
• Francis John Robles Evangelista, M.D.
• Lisa Evertsen, PA-C
• Faramarz Eghrari, MD
• Manuela Bella Farhi, MD
• Heidi Ann Farrell, PA-C
• Female Health Specialist Inc.
• Anthony Fieder

• Internal Medicine Physician in Melrose Park, IL
• Providers in Melrose Park, 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 Jan 28, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.