Individual provider Active NPI

Osman S Farooq, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Gainesville, FL
National Provider Identifier
1013168723
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME107387 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-5119
Phone
(352) 559-5051
NPI assigned
Oct 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME107387 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-5119

Mailing address

1329 SW 16TH St RM 2232
Gainesville, FL 32608-1128
Phone (352) 559-5051

Other practice location 1

555 W Sr 434
MP SS Admin
Longwood, FL 32750-5119
Phone (321) 842-2994

Other identifiers 2

IdentifierTypeStateIssuer
005546900MedicaidFL
ME107387OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120604000523 FL Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 6901060961 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians
North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

380 Rinehart Rd
Lake Mary, FL 32746-2551
Phone (407) 649-6878

600 E Dixie Ave
Leesburg, FL 34748-5925

951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6834

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME107387FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Brevard Medical Support, Inc CurrentSince Jan 8, 2024 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Dec 29, 2023 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince Jul 18, 2024 Accepting new patients
Orlando Health Medical Group Inc Critical Care Medicine CurrentSince Jul 1, 2012 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2012 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Dec 29, 2023 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ofarooq25291@orlandohealth.medalliesdirect.net
  • Direct secure messaging: osman.farooq.1@17832.direct.athenahealth.com
  • Direct secure messaging: ofarooq655101@direct.shands.ufl.edu
  • Direct secure messaging: osman.farooq@hca4.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1013168723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 SW 16TH ST RM 2232",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081128",
            "telephone_number": "352-559-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326105119",
            "telephone_number": "352-559-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 W SR 434",
            "address_2": "MP SS ADMIN",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327505119",
            "country_code": "US",
            "telephone_number": "321-842-2994",
            "fax_number": "407-767-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "OSMAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME107387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005546900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME107387",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.