Faisal Bukhari MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036088652 Issued in IL

Legal business name

FAISAL BUKHARI MD SC

Practice address

2 W. Adams
Sullivan, IL 61951-1943

Phone

(217) 728-7353

Fax

(217) 728-2580

NPI assigned

Jan 3, 2011

Last updated

Apr 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faisal Bukhari, MDNPI 1376545509

Title

Physician

Phone

(217) 728-7353

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faisal Bukhari, MD SC

  • Internal Medicine Physician
  • Sullivan, IL
  • NPI 1376545509
  Medicare reassignment Authorized official
• Hayley Yoder, NP-C

  • Family Medicine Physician
  • Sullivan, IL
  • NPI 1255826814
  Medicare reassignment
• Dennis D Costerisan, D.O.

  • Family Medicine Physician
  • Decatur, IL
  • NPI 1578565701
  NPD (past)

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1669776829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W. ADAMS",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619511943",
            "telephone_number": "217-728-7353",
            "fax_number": "217-728-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W. ADAMS",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619511943",
            "telephone_number": "217-728-7353",
            "fax_number": "217-728-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAISAL BUKHARI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "BUKHARI",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "217-728-7353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088652",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastview Hco, LLC (Eastview Terrace)
• Eastview Healthcare & Senior Living LLC
• Eastview Terrace
• Laura Ellis, SLP
• Carsen Evans
• Tamara Lee Foster, DT
• Emily Hall, BA & BS
• Andrew Hardiek
• Harley Chiropractic, LLC
• Nina Harris

• Internal Medicine Physician in Sullivan, IL
• Providers in Sullivan, 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 Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.