Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. FARES SUKHON MD
NPI 1962011833
Internal Medicine - Interventional Cardiology in Davenport, IA

Q: What is Fares Sukhon's NPI number?

The NPI number for Fares Sukhon is 1962011833. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Q: What is Fares Sukhon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Fares Sukhon was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 27, 2020PECOS Enrolled

1236 E RUSHOLME ST STE 300, DAVENPORT, IA 52803(563) 324-2992(563) 324-8562 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 2, 2026, Jul 27, 2020 (2 updates tracked since 2020).

On this page

About Dr. Fares Sukhon Md NPPES

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

DR. FARES SUKHON MD (NPI 1962011833) is an individual interventional cardiology provider in Davenport, Iowa, licensed in Iowa (MD-55482) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1962011833

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. FARES SUKHONCredential: MD

Location Address1236 E RUSHOLME ST STE 300Davenport, IA 52803-2484

Mailing Address1236 E Rusholme St Ste 300Davenport, IA 52803-2484 · (563) 324-2992 · Fax (563) 324-8562

Phone(563) 324-2992

Fax(563) 324-8562

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 27, 2020

Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration

NPPES CertifiedOctober 2, 2026

✔ NPI 1962011833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in IA · MD-55482

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD-55482 (IA)

1236 E RUSHOLME ST STE 300, Davenport, IA 52803

Open in Google Maps ↗

Secondary Practice Location 1

Location 1915 13th Ave NClinton, IA 52732-5067 · Phone (563) 324-2992 · Fax (563) 324-8562

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fares Sukhon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850717703

PECOS Enrollment IDI20260513001908

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 52803 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 11

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

MICHELLE LAKE

Nurse Practitioner (Acute Care)