Individual provider Active NPI

Nida Faheem, M.D.

  • Neurology Physician
  • Decatur, IL
National Provider Identifier
1952744732
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036166201 Issued in IL
Practice address
2 Memorial Dr Ste 202
Decatur, IL 62526-1597
Phone
(217) 876-2780
Fax
(217) 876-2785
NPI assigned
Apr 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036166201 IL Primary
Neurology Physician 2084N0400X 71314 WI

Addresses

Primary practice location

2 Memorial Dr Ste 202
Decatur, IL 62526-1597

Mailing address

2 Memorial Dr Ste 202
Decatur, IL 62526-1597
Phone (217) 876-2780

Other identifiers 1

IdentifierTypeStateIssuer
036166201OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NC, 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
I20190723003034 WI Practitioner - Neurology 2062710775 Reassigns benefits to 3 organizations
I20240403003332 NC Practitioner - NeurologyPractitioner - Psychiatry 2062710775
I20250422003202 IL Practitioner - Neurology 2062710775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians
The Medical College of Wisconsin IncGroup PAC ID 2668384371, 2,092 clinicians

Practice addresses (Care Compare)

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

2 Memorial Dr
Suite 202
Decatur, IL 62526-1597
Phone (217) 876-2780

8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666

8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Mar 22, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Oct 11, 2021 Accepting new patients
Decatur Memorial Hospital CurrentSince Jun 1, 2025 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Oct 11, 2021 Accepting new patients
Decatur Memorial Hospital CurrentSince Jun 1, 2025 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Gundersen Lutheran Medical Center, Inc. CurrentSince Oct 11, 2021 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Clinic LTD CurrentSince Oct 11, 2021 Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2 Memorial Dr
Ste 202
Decatur, IL 62526
Phone (217) 876-2126

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • Direct secure messaging: nfaheem553653@direct.emplifyhealth.org
  • Direct secure messaging: nfaheemmd327297@direct.froedtert.com

Organizations & group practices 12

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 10

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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1952744732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEMORIAL DR STE 202",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261597",
            "telephone_number": "217-876-2780",
            "fax_number": "217-876-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEMORIAL DR STE 202",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261597",
            "telephone_number": "217-876-2780",
            "fax_number": "217-876-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEEM",
        "first_name": "NIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036166201",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "71314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036166201",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.