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FAIRVIEW MEDICAL GROUP LLC
NPI 1427009232
Internal Medicine in Swansea, IL

Active since May 15, 2006CLIA 14D0669632 · Waiver
4972 BENCHMARK CENTRE DR STE 400, SWANSEA, IL 62226(618) 632-3343(618) 206-6281 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Fairview Medical Group Llc NPPES

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

FAIRVIEW MEDICAL GROUP LLC (NPI 1427009232) is a healthcare organization registered as an internal medicine in Swansea, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 4, 2026 and lists Mounir Shenouda, Partner, as its authorized official.

NPPES Registry Identity

NPI1427009232
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAIRVIEW MEDICAL GROUP LLC
Location Address4972 BENCHMARK CENTRE DR STE 400Swansea, IL 62226-2070
Mailing Address317 Salem Place, Ste 140Fairview Heights, IL 62208 · (618) 632-3343 · Fax (618) 632-4914
Phone(618) 632-3343
Fax(618) 206-6281
Organization SubpartNo
Authorized OfficialMounir ShenoudaPartner · (618) 632-3343
Enumeration DateMay 15, 2006
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1427009232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
4972 BENCHMARK CENTRE DR STE 400, Swansea, IL 62226
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairview Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fairview Medical Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Philip Chu, MD
Internal Medicine
NPI 1396797841
4972 BENCHMARK CENTRE DR STE 400
Swansea, IL 62226
(618) 726-5500
✔ PECOS✔ Accepts MedicareSame address
Mounir Shenouda, MD
Internal Medicine
NPI 1235180043
4972 BENCHMARK CENTRE DR STE 400
Swansea, IL 62226
(618) 632-3343
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0669632

Fairview Med Group LLC · Swansea, IL
Active · expires Dec 4, 2026
CLIA Number14D0669632
Laboratory TypeHealth Main. Organization
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorMounir Shenouda MD
Laboratory Phone(618) 632-3343
Laboratory LocationFairview Med Group LLC4972 Benchmark Centre Dr #400, Swansea, IL 62226
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fairview Medical Group LLC's NPI number?

The NPI number for Fairview Medical Group LLC is 1427009232. It was assigned to this organization in the NPPES registry on May 15, 2006.

Where is Fairview Medical Group LLC located?

Fairview Medical Group LLC is located at 4972 Benchmark Centre Dr Ste 400, Swansea, IL 62226. The listed phone number is (618) 632-3343.

What is Fairview Medical Group LLC's specialty?

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

Is Fairview Medical Group LLC enrolled in Medicare?

Yes. Fairview Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairview Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Fairview Medical Group LLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fairview Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0669632) is associated with this NPI, valid through December 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fairview Medical Group LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Fairview Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairview Medical Group LLC was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.