Active NPI
Nabil Al-Sharif, M.D.
- Cardiovascular Disease Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036-087263
- Practice address
- 409 W Oak St
Carbondale, IL 62901-1414 - Phone
- (618) 529-4455
- Fax
- (618) 351-1287
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036087263 | IL | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 036.087263 | IL | |
| Adult Congenital Heart Disease Physician | 207RA0002X | 036.087263 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036-087263 | IL | Primary |
Addresses
Primary practice location
409 W Oak St
Carbondale, IL 62901-1414
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036087263 | Medicaid | IL | |
| P00835872 | Other | IL | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.087263 | IL | MD | Adult Congenital Heart Disease Physician |
| 036-087263 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Family Medicine | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Prairie Cardiovascular Consultants LTD | Cardiovascular Disease | Current | Accepting new patients |
| Southern Illinois Hospital Services | Past | Accepting new patients | |
| Prairie Cardiovascular Consultants LTD | Cardiovascular Disease | Past | Accepting new patients |
| River to River Heart Group, LLC | Internal Medicine | Past | Accepting new patients |
Locations
409 W Oak St
Carbondale, IL 62901
Phone (618) 536-2565
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
405 W Jackson St
Carbondale, IL 62901
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
619 E Mason St
#4P57
Springfield, IL 62701
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- nalsharifmd329704@carlehiedirect.net
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Family Medicine
-
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
Family Medicine
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1982714218
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Springfield, IL
- NPI 1659539559
-
- Internal Medicine Physician
- Marion, IL
- NPI 1336168491
-
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1730108804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3988",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629023988",
"telephone_number": "618-457-5200",
"fax_number": "618-529-0586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W OAK ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011414",
"telephone_number": "618-529-4455",
"fax_number": "618-351-1287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-SHARIF",
"first_name": "NABIL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036087263",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "IL",
"license": "036.087263",
"primary": false
},
{
"code": "207RA0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adult Congenital Heart Disease",
"state": "IL",
"license": "036.087263",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036-087263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036087263",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00835872",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.