JOHANNE THEODULE FAHY (PA-C) – Medical Physician Assistant, NPI 1821277682
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Loading map...
Provider Addresses for JOHANNE THEODULE FAHY (PA-C)
31, West 155th Street, Harvey, Thornton Township, Cook County, Illinois, 60426, United States
HARVEY, IL 604263556
Phone: (708) 596-5177
Type: Location
16450 104TH AVE
ORLAND PARK, IL 604675413
Phone: (708) 349-0070
Fax: (708) 349-0077
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $687.
Total Amount is formed as General ($687) + Research ($0) + Ownership ($0) = $687.
Last reported payment date: 2024-07-26 • Largest payer in this snapshot: AIMMUNE THERAPEUTICS, INC. ($249).
Total Amount
$687
General + Research + Ownership
Payments
21
Total payment records
General Amount
$687
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AIMMUNE THERAPEUTICS, INC. | $249 |
| AstraZeneca Pharmaceuticals LP | $192 |
| Lilly USA, LLC | $73 |
| Bayer Healthcare Pharmaceuticals Inc. | $73 |
| PFIZER INC. | $32 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100625000213 | I | Physician Assistant | IL | TBD |
| I20101221001049 | I | Physician Assistant | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 250 | 88 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 41 | 40 | $0 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 24 | 24 | $0 |
| 99489 | 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 | 21 | 11 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 60426)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation, Pain Management | IN | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | TX | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Hospitalist, Internal Medicine | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.