JOHANNE THEODULE FAHY PA-C
NPI 1821277682
Physician Assistant - Medical in Orland Park, IL

Active since October 29, 2007PECOS EnrolledAccepts Medicare Assignment
16450 104TH AVE, ORLAND PARK, IL 60467(708) 349-0070(708) 349-0077 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johanne Theodule Fahy Pa-c NPPES

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

JOHANNE THEODULE FAHY PA-C (NPI 1821277682) is an individual medical provider in Orland Park, Illinois, licensed in Illinois (085003125) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1821277682
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJOHANNE THEODULE FAHYCredential: PA-C
Location Address16450 104TH AVEOrland Park, IL 60467-5413
Mailing Address16450 104th AveOrland Park, IL 60467-5413 · (708) 349-0070 · Fax (708) 349-0077
Fax(708) 349-0077
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 29, 2007
Last NPPES UpdateSeptember 15, 2022
NPPES CertifiedSeptember 23, 2020
NPI 1821277682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085003125
16450 104TH AVE, Orland Park, IL 60467

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Johanne Theodule Fahy Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577694140
PECOS Enrollment IDI20100625000213
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.

Areas of Expertise CMS Part B claims 8

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 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.
2,083 services384 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
263 services59 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
255 services211 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
133 services125 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
120 services65 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
64 services39 patients

Other Providers at the Same Location NPPES 5

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

Physical Therapist (Sports)
16450 104TH AVE
ORLAND PARK, IL 60467
Anesthesiology (Pain Medicine)
16450 104TH AVE
ORLAND PARK, IL 60467
Clinic/Center (Ambulatory Surgical)
16450 104TH AVE, SUITE 100
ORLAND PARK, IL 60467
Nurse Practitioner
16450 104TH AVE, SUITE #101
ORLAND PARK, IL 60467
Orthopaedic Surgery (Sports Medicine)
16450 104TH AVE
ORLAND PARK, IL 60467

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 Johanne Theodule Fahy's NPI number?

The NPI number for Johanne Theodule Fahy is 1821277682. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Where is Johanne Theodule Fahy located?

Johanne Theodule Fahy practices at 16450 104th Ave, Orland Park, IL 60467. The listed phone number is (708) 349-0070.

What is Johanne Theodule Fahy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Johanne Theodule Fahy enrolled in Medicare?

Yes. Johanne Theodule Fahy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Johanne Theodule Fahy accept?

Health plans from Oscar Insurance Company list Johanne Theodule Fahy 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 Johanne Theodule Fahy was last updated on September 15, 2022. 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.