Active NPI
Fairouz Carpizo Codina, M.D.
- Emergency Medicine Physician
- Chicago Heights, IL
National Provider Identifier
1841580438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036129095
- Practice address
- 1423 Chicago Rd
Unit 3207
Chicago Heights, IL 60411-3400 - Phone
- (708) 756-1000
- NPI assigned
- Apr 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036129095 | IL | Primary |
Addresses
Primary practice location
1423 Chicago Rd
Unit 3207
Chicago Heights, IL 60411-3400
Mailing address
400 E Randolph St
Unit 3207
Chicago, IL 60601-7329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841580438 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036129095 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Cook County LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Olympia Fields, IL
- NPI 1114168929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1841580438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E RANDOLPH ST",
"address_2": "UNIT 3207",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 CHICAGO RD",
"address_2": "UNIT 3207",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604113400",
"telephone_number": "708-756-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODINA",
"first_name": "FAIROUZ",
"middle_name": "CARPIZO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036129095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841580438",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.