1. Home
  2. Directory
  3. Illinois
  4. Bloomington
  5. Psychiatry Neurology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHAHRZAD FAKHRAEE MD
NPI 1841934270
Psychiatry & Neurology - Neurology in Bloomington, IL

Active since April 22, 2022PECOS Enrolled
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701(309) 662-3311 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 20, 2026, Apr 22, 2022 (2 updates tracked since 2022).

About Shahrzad Fakhraee Md NPPES

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

SHAHRZAD FAKHRAEE MD (NPI 1841934270) is an individual neurology provider in Bloomington, Illinois, licensed in Illinois (036181830) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841934270
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSHAHRZAD FAKHRAEECredential: MD
Location Address2200 E WASHINGTON STBloomington, IL 61701-4364
Mailing Address2200 E Washington StBloomington, IL 61701-4364 · (309) 662-3311
Phone(309) 662-3311
Sole ProprietorNo
Enumeration DateApril 22, 2022
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1841934270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IL · 036181830
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2200 E WASHINGTON ST, Bloomington, IL 61701
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shahrzad Fakhraee 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 61701 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.

KRISTA ELISABETH BAJJALIEH OTR/L
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
CRYSTAL LAMONT DNP, CRNA
Nurse Anesthetist, Certified Registered
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
DR. RICHARD SABBUN M.D.
Emergency Medicine (Emergency Medical Services)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 665-5925
BAILEY WILSON
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 661-6275
MR. MICHAEL DANTI NOVARIO R.PH.
Pharmacist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 661-5191
MS. NARUMON HONGRATTANAVORAKIT
Technician, Other
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-5190
YUWADEE H JOHNSON PHARMACY INTERN
Pharmacy Technician
2200 E WASHINGTON ST, ST.JOSEPH MEDICAL CENTER
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
TERRY M BRADY MD
Radiology (Vascular & Interventional Radiology)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311

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 Shahrzad Fakhraee's NPI number?

The NPI number for Shahrzad Fakhraee is 1841934270. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Shahrzad Fakhraee located?

Shahrzad Fakhraee practices at 2200 E Washington St, Bloomington, IL 61701. The listed phone number is (309) 662-3311.

What is Shahrzad Fakhraee's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Shahrzad Fakhraee enrolled in Medicare?

Yes. Shahrzad Fakhraee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shahrzad Fakhraee was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.