Individual provider Active NPI

Farhana Pyarali Alvi, M.D.

  • Internal Medicine Physician
  • Crest Hill, IL
National Provider Identifier
1568451276
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-087464 Issued in IL
Practice address
2208 Weber Rd
Unit a
Crest Hill, IL 60403-0961
Phone
(815) 725-1118
Fax
(815) 725-1198
NPI assigned
Oct 14, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-087464 IL Primary

Addresses

Primary practice location

2208 Weber Rd
Unit a
Crest Hill, IL 60403-0961

Mailing address

PO Box 59
Willow Springs, IL 60480-0059
Phone (815) 725-1118

Other identifiers 4

IdentifierTypeStateIssuer
14D1097242OtherILCLIA
P00756867OtherILRAILROAD MEDICARE
036087464MedicaidIL
10637422OtherILCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-087464ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Delivery Systems Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: farhana.alvi.1@14307.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568451276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604800059",
            "telephone_number": "815-725-1118",
            "fax_number": "815-725-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 WEBER RD",
            "address_2": "UNIT A",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030961",
            "telephone_number": "815-725-1118",
            "fax_number": "815-725-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVI",
        "first_name": "FARHANA",
        "middle_name": "PYARALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-087464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D1097242",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00756867",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087464",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10637422",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.