FAVIA PRIMARY CARE, SC
NPI 1669964300
Family Medicine in Algonquin, IL
About Favia Primary Care, Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAVIA PRIMARY CARE, SC (NPI 1669964300) is a healthcare organization registered as a family medicine in Algonquin, Illinois and active in the NPI registry since May 2018. The organization holds 2 active CLIA laboratory certificates and lists Philip Favia, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Favia Primary Care, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Favia Primary Care, Sc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 2
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 14D2150364
Favia Primary Care, S C · Algonquin, ILCertificate of Waiver 14D2176706
Favia Primary Care · Crystal Lake, ILFrequently 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 Favia Primary Care, Sc's NPI number?
The NPI number for Favia Primary Care, Sc is 1669964300. It was assigned to this organization in the NPPES registry on May 30, 2018.
Where is Favia Primary Care, Sc located?
Favia Primary Care, Sc is located at 1340 Ryan Parkway, Algonquin, IL 60102. The listed phone number is (815) 276-0150.
What is Favia Primary Care, Sc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Favia Primary Care, Sc enrolled in Medicare?
Yes. Favia Primary Care, Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Favia Primary Care, Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Favia Primary Care, Sc, in Family Practice and Nurse Practitioner. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Favia Primary Care, Sc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Favia Primary Care, Sc was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Favia Primary Care, Sc · NPI 1669964300
Family Medicine organization in Algonquin, Illinois. Organization record, active in the CMS NPPES registry since May 30, 2018.
## Identity
- **NPI:** 1669964300 (Entity type: Organization)
- **Enumerated:** May 30, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Philip Favia, OWNER
## Practice location
- **Address:** 1340 RYAN PARKWAY, Algonquin, IL 60102
- **Phone:** (815) 276-0150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669964300) · Data from the CMS NPPES public registry.