Individual provider Active NPI

Farook K Shroff, M.D., F.A.C.C.

  • Cardiovascular Disease Physician
  • Wilkes Barre, PA
National Provider Identifier
1033249750
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD035572L Issued in PA
Practice address
575 N River St
Wilkes Barre, PA 18702-2634
Phone
(570) 829-8111
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD035572L PA Primary

Addresses

Primary practice location

575 N River St
Wilkes Barre, PA 18702-2634

Mailing address

43 Old Mill Rd
Wilkes Barre, PA 18702-7318
Phone (570) 881-9639

Other practice location 1

43 Old Mill Rd
Wilkes Barre, PA 18702-7318
Phone (570) 881-9369

Other identifiers 5

IdentifierTypeStateIssuer
19320OtherPAGEISINGER HEALTH PLAN
440480OtherPAFIRST PRIORITY HEALTH
2Y7701OtherPAHEALTH NET
025159OtherPAHIGHMARK BLUE SHIELD
000649873MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081021000544 PA Practitioner - Cardiovascular Disease (Cardiology) 7719045673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD035572LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farook K Shroff MD Cardiovascular Disease CurrentSince Nov 18, 2024 Accepting new patients

Locations

517 Pierce St
Kingston, PA 18704
Phone (570) 371-3536

575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5915/brand/4/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1033249750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 OLD MILL RD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027318",
            "telephone_number": "570-881-9639",
            "fax_number": "570-655-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022634",
            "telephone_number": "570-829-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Old Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187027318",
            "country_code": "US",
            "telephone_number": "570-881-9369",
            "fax_number": "570-655-4103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHROFF",
        "first_name": "FAROOK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD035572L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "19320",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "440480",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Y7701",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "025159",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000649873",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.