Individual provider Active NPI

Firas Y Rafati, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Wheaton, IL
National Provider Identifier
1942655949
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
DO.2547 Issued in AL
Practice address
26W171 Roosevelt Rd
Wheaton, IL 60187-6002
Phone
(630) 909-8000
NPI assigned
Apr 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X DO.2547 AL Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X 125.069506 IL

Addresses

Primary practice location

26W171 Roosevelt Rd
Wheaton, IL 60187-6002

Mailing address

PO Box 11637
Pensacola, FL 32524-1637
Phone (850) 484-4080

Other practice location 1

4901 Market Place Rd
Pensacola, FL 32504-8986
Phone (850) 484-4080

Other practice location 2

855 Downtowner Blvd
Mobile, AL 36609-5403
Phone (850) 484-4080

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220615002038 IL Practitioner - Pain Management 4789920760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago Spine and Joint, S.C.Group PAC ID 1153374038, 9 clinicians

Practice addresses (Care Compare)

1890 Silver Cross Blvd
New Lenox, IL 60451-9524
Phone (815) 416-1224

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.2547ALMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Specialists LLC Multi-Specialty CurrentSince Jul 4, 2022 Accepting new patients
Lawrence County Memorial Hospital Multi-Specialty Past Accepting new patients
Chicago Spine and Joint, S.C. Single Specialty Past Accepting new patients

Locations

6920 Ogden Ave
Unit C
Berwyn, IL 60402

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

2447 Momentum Pl
Chicago, IL 60689

3800 Highland Ave
Ste 101
Downers Grove, IL 60515
Phone (630) 351-0775

1365 Wiley Rd
Ste 153
Schaumburg, IL 60173

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.

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1942655949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11637",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241637",
            "telephone_number": "850-484-4080",
            "fax_number": "850-484-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26W171 ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876002",
            "telephone_number": "630-909-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Market Place Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048986",
            "country_code": "US",
            "telephone_number": "850-484-4080",
            "fax_number": "850-484-8801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 Downtowner Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366095403",
            "country_code": "US",
            "telephone_number": "850-484-4080",
            "fax_number": "850-484-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFATI",
        "first_name": "FIRAS",
        "middle_name": "Y",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "DO.2547",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125.069506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.