Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fadel Ahmed Bofarrag, MD, MPH

Individual provider Internal Medicine Physician · NPI 1003291279

Fadel Ahmed Bofarrag, MD, MPH is an Internal Medicine in Springfield, Illinois. Qualified in 2010, 16 years ago. Licensed in Illinois, Massachusetts and Missouri.

Years since qualifying
16
Licensed in
IL, MA, MO
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

701 N 1st St Ste D434
Springfield, IL 62702-3757
Phone: (217) 545-8000
Fax: (217) 545-7063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 036.170263 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2015014044 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 276951 (MA)
Hospitalist Physician Taxonomy 208M00000X · Licence 276951 (MA)

Record details

NPI number1003291279
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedJuly 29, 2015
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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