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: October 25, 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, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2015).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shahrzad Fakhraee Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264815166
PECOS Enrollment IDI20260901002081
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.

Medicare Billing Reassignment

Medicare enrollment records show Shahrzad Fakhraee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

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.

Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Nurse Anesthetist, Certified Registered
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Emergency Medicine (Emergency Medical Services)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Pharmacist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Technician, Other
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Pharmacy Technician
2200 E WASHINGTON ST, ST.JOSEPH MEDICAL CENTER
BLOOMINGTON, IL 61701
Radiology (Vascular & Interventional Radiology)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701

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.

Which organization bills Medicare for Shahrzad Fakhraee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shahrzad Fakhraee reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The 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 Shahrzad Fakhraee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shahrzad Fakhraee affiliated with any hospitals?

According to CMS data, Shahrzad Fakhraee is affiliated with Saint Francis Medical Center.

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 2 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.