FARIAHH FAZIL FNP-BC
NPI 1053954503
Nurse Practitioner in Mount Vernon, IL

Q: What is Fariahh Fazil's NPI number?

The NPI number for Fariahh Fazil is 1053954503. It was assigned to this individual provider in the NPPES registry on October 28, 2019. The provider is also known as Faria F Imdad.

Q: What is Fariahh Fazil's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Fariahh Fazil was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 28, 2019PECOS Enrolled

2 GOOD SAMARITAN WAY STE 235, MOUNT VERNON, IL 62864(618) 899-3980 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2020, Oct 28, 2019 (2 updates tracked since 2019).

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About Fariahh Fazil Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FARIAHH FAZIL FNP-BC (NPI 1053954503) is an individual nurse practitioner in Mount Vernon, Illinois, licensed in Illinois (209019228) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053954503

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameFARIAHH FAZILCredential: FNP-BC

Location Address2 GOOD SAMARITAN WAY STE 235Mount Vernon, IL 62864-2476

Mailing AddressPo Box 955860Saint Louis, MO 63195-2551 · (636) 498-5944

Phone(618) 899-3980

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 28, 2019

Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration

NPPES CertifiedOctober 19, 2020

✔ NPI 1053954503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209019228

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2 GOOD SAMARITAN WAY STE 235, Mount Vernon, IL 62864

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Other Names 1

Former Name (1)Faria F Imdad

Other Identifiers 1

Other209019228IL · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fariahh Fazil Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527490598

PECOS Enrollment IDI20230125003297

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Fariahh Fazil reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beacon Health Medical PC

812 mi

Internal Medicine

17 W 9TH ST
Brooklyn, NY 11231

Reassigned Medicare billing, New York enrollment
60 clinicians in this Medicare group

NPI 1679393052 (718) 599-9090

Parcare Community Health Network Inc

814 mi

Multi-Specialty

445 PARK AVE
Brooklyn, NY 11205

Reassigned Medicare billing, New York enrollment
193 clinicians in this Medicare group

NPI 1730454083 (718) 963-0800

Peyman Younesi MD PLLC

823 mi

Internal Medicine

6136 170TH ST APT M4
Fresh Meadows, NY 11365

Reassigned Medicare billing, New York enrollment
193 clinicians in this Medicare group

NPI 1891053328 (718) 709-0940

Nuvance Health Medical Practice PC

826 mi

Internal Medicine

45 READE PLACE
Poughkeepsie, NY 12601

Reassigned Medicare billing, New York enrollment
638 clinicians in this Medicare group

NPI 1437358033 (845) 475-9661

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

906 services172 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

653 services149 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

198 services173 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

75 services74 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330023

Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM ALAN BISHOP

Surgery

2 GOOD SAMARITAN WAY STE 235
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3980

PETER WONG MD

Surgery (Vascular Surgery)

2 GOOD SAMARITAN WAY STE 235
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fariahh Fazil's NPI number?

The NPI number for Fariahh Fazil is 1053954503. It was assigned to this individual provider in the NPPES registry on October 28, 2019. The provider is also known as Faria F Imdad.

Where is Fariahh Fazil located?

Fariahh Fazil practices at 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864. The listed phone number is (618) 899-3980.

What is Fariahh Fazil's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Fariahh Fazil enrolled in Medicare?

Yes. Fariahh Fazil is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fariahh Fazil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fariahh Fazil reassigns Medicare benefits to 4 organizations: Beacon Health Medical PC (Brooklyn, NY), Parcare Community Health Network Inc (Brooklyn, NY), Peyman Younesi MD PLLC (Fresh Meadows, NY) and Nuvance Health Medical Practice PC (Poughkeepsie, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fariahh Fazil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Fariahh Fazil affiliated with any hospitals?

According to CMS data, Fariahh Fazil is affiliated with Vassar Brothers Medical Center.

When was this NPI record last updated?

The NPPES record for Fariahh Fazil was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.