Active NPI
Lili Farrokh-Siar, MD
- Ophthalmology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036108893
- Practice address
- 676 N Saint Clair St
1500
Chicago, IL 60611-2927 - Phone
- (312) 475-1000
- Fax
- (312) 475-1006
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036108893 | IL | Primary |
Addresses
Primary practice location
676 N Saint Clair St
1500
Chicago, IL 60611-2927
Mailing address
676 N Saint Clair St
1500
Chicago, IL 60611-2927
Phone (312) 475-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036108893 | Medicaid | IL |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9980 W 190TH St
Suite D
Mokena, IL 60448-8184
Phone (708) 429-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 58 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Illinois Glaucoma Center, LTD | Ophthalmology | Current | Accepting new patients |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| University Eye Specialists LTD | Past | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200
9980 W 190th St
Ste D
Mokena, IL 60448
Phone (708) 429-3937
1870 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 462-3474
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Mokena, IL
- NPI 1265706956
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
-
- Glaucoma Specialist (Ophthalmology) Physician
- Chicago, IL
- NPI 1760592398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1811053069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST",
"address_2": "1500",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "312-475-1000",
"fax_number": "312-475-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST",
"address_2": "1500",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "312-475-1000",
"fax_number": "312-475-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARROKH-SIAR",
"first_name": "LILI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036108893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036108893",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.