Individual provider Active NPI

Thair Al-Saqri

  • Family Nurse Practitioner
  • Champaign, IL
National Provider Identifier
1619854221
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.032942 Issued in IL
Practice address
4018 Danbury Dr
Champaign, IL 61822-7706
Phone
(217) 600-7000
Fax
(217) 600-7000
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.032942 IL Primary

Addresses

Primary practice location

4018 Danbury Dr
Champaign, IL 61822-7706

Mailing address

819 Bloomington Rd
Champaign, IL 61820-2101
Phone (217) 600-7000

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
I20251118002544 IL Practitioner - Nurse Practitioner 7012408925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

819 Bloomington Rd
Champaign, IL 61820-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.032942ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Healthcare NFP CurrentSince Sep 8, 2025 Accepting new patients
Promise Healthcare NFP Current Accepting new patients
Promise Healthcare NFP CurrentSince Sep 8, 2025 Accepting new patients

Locations

819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558

Interoperability endpoints

  • Direct secure messaging: thair.alsaqri.p11@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 3

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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1619854221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 BLOOMINGTON RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618202101",
            "telephone_number": "217-600-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 DANBURY DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227706",
            "telephone_number": "217-600-7000",
            "fax_number": "217-600-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SAQRI",
        "first_name": "THAIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.032942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.