Active NPI
Hafez Daryush Haerian, MD
- Diagnostic Radiology Physician
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036155085
- Practice address
- 611 W Park St
Urbana, IL 61801-2529 - Phone
- (217) 383-3270
- Fax
- (217) 383-4116
- NPI assigned
- Jun 20, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036155085 | IL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD453061 | PA |
Addresses
Primary practice location
611 W Park St
Urbana, IL 61801-2529
Mailing address
611 W Park St
Urbana, IL 61801-2501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150406001648 | PA | Practitioner - Diagnostic Radiology | 8325366289 | Reassigns benefits to 1 organization |
| I20160714000306 | MD | Practitioner - Diagnostic Radiology | 8325366289 | Reassigns benefits to 5 organizations |
| I20210322001788 | IL | Practitioner - Diagnostic Radiology | 8325366289 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Maryland School of Medicine, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Carle Health Care IncorporatedGraham Hospital AssociationCarle West Physician Group IncSinai Hospital of Baltimore, IncHoopeston Community Memorial HospitalRichland Memorial Hospital Inc
Practice addresses (Care Compare)
200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900
210 W Walnut St
Canton, IL 61520-2444
Phone (309) 647-5240
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
2401 E Belvedere Ave
Baltimore, MD 21215-5216
2435 W Belvedere Ave
Baltimore, MD 21215-5224
3024 E Empire St
Bloomington, IL 61704-5402
4713 Roland Ave
Baltimore, MD 21210-2319
Phone (217) 902-5291
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-5976
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340
900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000
Hospital & facility affiliations
- Carle Foundation Hospital
- Carle Bromenn Medical Center
- Graham Hospital Association
- Graham Hospital Association
- Carle Richland Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graham Hospital Association | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Sheridan Radiology Services of Pinellas, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Graham Hospital Association | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240
180 S Main St
Canton, IL 61520
Phone (309) 647-5240
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
2401 W Belvedere Ave
Baltimore, MD 21215
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
100 N Academy Ave
Danville, PA 17822
1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351
Interoperability endpoints
- hhaerianmd326771@carlehiedirect.net
Organizations & group practices 55
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.
-
- Rural Health Clinic/Center
- Glasford, IL
- NPI 1104604529
-
- Internal Medicine Physician
- Galesburg, IL
- NPI 1710845854
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1861653958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012529",
"telephone_number": "217-383-3270",
"fax_number": "217-383-4116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAERIAN",
"first_name": "HAFEZ",
"middle_name": "DARYUSH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036155085",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD453061",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.