Individual provider Active NPI

Hafez Daryush Haerian, MD

  • Diagnostic Radiology Physician
  • Urbana, IL
National Provider Identifier
1861653958
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036155085 Issued in IL
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

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 Incorporated 1,592 clinicians
Graham Hospital Association 124 clinicians
Carle West Physician Group Inc 282 clinicians
Sinai Hospital of Baltimore, Inc 373 clinicians
Hoopeston Community Memorial Hospital 142 clinicians
Richland Memorial Hospital Inc 107 clinicians

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 Hospital, Urbana, IL, CCN 140091
  • Carle Bromenn Medical Center Hospital, Normal, IL, CCN 140127
  • Graham Hospital Association Hospital, Canton, IL, CCN 140001
  • Graham Hospital Association Hospital, Canton, IL, CCN 141356
  • Carle Richland Memorial Hospital Hospital, Olney, IL, CCN 141355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Hospital Association CurrentSince Jan 20, 2025 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jan 13, 2026 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 CurrentSince Mar 2, 2021 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jan 13, 2026 Accepting new patients
Carle Health Care Incorporated CurrentSince Mar 17, 2021 Accepting new patients
Graham Hospital Association CurrentSince Jan 20, 2025 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Mar 2, 2021 Accepting new patients
Kirby Medical Center CurrentSince Mar 22, 2021 Accepting new patients
Kirby Medical Center CurrentSince Mar 22, 2021 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Jan 14, 2021 Accepting new patients
Carle West Physician Group Inc CurrentSince Mar 17, 2022 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jul 7, 2018 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

  • Direct secure messaging: 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.

View all 55

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

Verify at the official NPI Registry.