FARES GHANEM MD - NPI 1700494754 - Internal Medicine in Springfield, IL

Q: What is Fares Ghanem's NPI number?

The NPI number for Fares Ghanem is 1700494754. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Q: What is Fares Ghanem's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Fares Ghanem was last updated on January 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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About Fares Ghanem Md NPPES

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

FARES GHANEM MD (NPI 1700494754) is an individual cardiovascular disease provider in Springfield, Illinois, licensed in Illinois (125.081176) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700494754

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameFARES GHANEMCredential: MD

Location Address701 N 1ST ST STE D434Springfield, IL 62702-3757

Mailing AddressPo Box 19636Springfield, IL 62794-9636 · (217) 545-8000 · Fax (217) 545-7063

Phone(217) 545-8000

Fax(217) 545-7063

Sole ProprietorNo

Enumeration DateJuly 16, 2020

Last NPPES UpdateJanuary 1, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 1, 2026

✔ NPI 1700494754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IL · 125.081176

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

701 N 1ST ST STE D434, Springfield, IL 62702

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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)

Fares Ghanem Md 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 62702 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

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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 6

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

FADEL AHMED BOFARRAG MD, MPH

Internal Medicine (Cardiovascular Disease)