Individual provider Active NPI

Shayan Fayaz, NP-C

  • Nurse Practitioner
  • Palos Heights, IL
National Provider Identifier
1588375190
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.024200 Issued in IL
Practice address
7850 W College Dr
Palos Heights, IL 60463-1010
Phone
(872) 231-3162
NPI assigned
Dec 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.024200 IL Primary

Addresses

Primary practice location

7850 W College Dr
Palos Heights, IL 60463-1010

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230215002977 IL Practitioner - Nurse Practitioner 3072985217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

11860 Southwest Hwy
Palos Heights, IL 60463-1036
Phone (708) 361-4555

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.024200ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Jan 1, 2023 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

275 E Army Trail Rd
Bloomingdale, IL 60108
Phone (630) 893-9616

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

2751 W Winona St
Chicago, IL 60625
Phone (773) 907-7700

2773 Skokie Valley Rd
Highland Park, IL 60035
Phone (847) 266-9266

8333 W Golf Rd
Niles, IL 60714
Phone (847) 966-9190

270 Skokie Blvd
Northbrook, IL 60062
Phone (773) 620-1974

11860 Southwest Hwy
Palos Heights, IL 60463
Phone (630) 286-4000

7850 W College Dr
Palos Heights, IL 60463
Phone (708) 361-6990

10426 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 443-7400

18300 Lavergne Ave
Frnt
Tinley Park, IL 60478
Phone (708) 798-2272

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1588375190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631010",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYAZ",
        "first_name": "SHAYAN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-06",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.024200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.