OMAR EASSA FAKHOURY DO
NPI 1306536149
Internal Medicine in Mchenry, IL

Q: What is Omar Fakhoury's NPI number?

The NPI number for Omar Fakhoury is 1306536149. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Q: What is Omar Fakhoury's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Omar Fakhoury was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 15, 2023PECOS Enrolled

4201 W MEDICAL CENTER DR, MCHENRY, IL 60050(815) 344-5000 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2023, May 15, 2023 (2 updates tracked since 2023).

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About Omar Eassa Fakhoury Do NPPES

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

OMAR EASSA FAKHOURY DO (NPI 1306536149) is an individual internal medicine provider in Mchenry, Illinois, licensed in Illinois (125082900) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306536149

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameOMAR EASSA FAKHOURYCredential: DO

Location Address4201 W MEDICAL CENTER DRMchenry, IL 60050-8409

Mailing Address4201 W Medical Center DrMchenry, IL 60050-8409 · (815) 344-5000

Phone(815) 344-5000

Sole ProprietorNo

Enumeration DateMay 15, 2023

Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration

NPPES CertifiedJuly 12, 2023

✔ NPI 1306536149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 125082900

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4201 W MEDICAL CENTER DR, Mchenry, IL 60050

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omar Eassa Fakhoury Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

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 20

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

AIGIN HEYDARI MD

Student in an Organized Health Care Education/Training Program