Active NPI
Farook K Shroff, M.D., F.A.C.C.
- Cardiovascular Disease Physician
- Wilkes Barre, PA
National Provider Identifier
1033249750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD035572L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19320 | Other | PA | GEISINGER HEALTH PLAN |
| 440480 | Other | PA | FIRST PRIORITY HEALTH |
| 2Y7701 | Other | PA | HEALTH NET |
| 025159 | Other | PA | HIGHMARK BLUE SHIELD |
| 000649873 | Medicaid | PA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081021000544 | PA | Practitioner - Cardiovascular Disease (Cardiology) | 7719045673 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035572L | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farook K Shroff MD | Cardiovascular Disease | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Wilkes Barre, PA
- NPI 1184225948
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.