NPIMap

Individual provider Active NPI

Laith Anastas Farjo, M.D.

  • Orthopaedic Surgery Physician
  • Brighton, MI
National Provider Identifier
1043279235
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
LF073669 Issued in MI
Practice address
2305 Genoa Business Park Dr
Suite 170
Brighton, MI 48114-7367
Phone
(810) 299-8550
Fax
(810) 844-0837
NPI assigned
Mar 17, 2006
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X LF073669 MI Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X LF073669 MI

Addresses

Primary practice location

2305 Genoa Business Park Dr
Suite 170
Brighton, MI 48114-7367

Mailing address

2305 Genoa Business Park Dr.
Suite 170
Brighton, MI 48114-7367
Phone (810) 299-8550

Other identifiers 1

IdentifierTypeStateIssuer
4379981MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lfarjo@advancedortho1.direct.emds.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000614 MI Practitioner - Orthopedic Surgery 4183617186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedic Specialists, PCGroup PAC ID 4981697976, 11 clinicians

Practice addresses (Care Compare)

2305 Genoa Business Park Dr
Suite 170
Brighton, MI 48114-7005
Phone (810) 299-8550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)53
Upper limb (arm) arthroscopy (minimally invasive joint repair)270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LF073669MIMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedic Specialists PC Orthopaedic Surgery CurrentSince Jan 1, 2002 Accepting new patients
Advanced Orthopedic Specialists PC Past Accepting new patients
Community Orthopedic Surgery PC Past Accepting new patients
Providence Ventures, LLC Past Accepting new patients

Locations

2305 Genoa Business Park Dr
Ste 170
Brighton, MI 48114
Phone (810) 299-8550

Interoperability endpoints

  • Direct secure messaging: lfarjo@advancedortho.emadirect.md
  • Direct secure messaging: lfarjo1126556@direct.hfhs.org

Organizations & group practices 4

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

Hospital & facility affiliations 6

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1043279235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 GENOA BUSINESS PARK DR.",
            "address_2": "SUITE 170",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147367",
            "telephone_number": "810-299-8550",
            "fax_number": "810-844-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 GENOA BUSINESS PARK DR",
            "address_2": "SUITE 170",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147367",
            "telephone_number": "810-299-8550",
            "fax_number": "810-844-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARJO",
        "first_name": "LAITH",
        "middle_name": "ANASTAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "LF073669",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "LF073669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4379981",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lfarjo@advancedortho1.direct.emds.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "physician email",
            "address_1": "2305 Genoa Business Park Dr",
            "address_2": "Suite 170",
            "city": "Brighton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481147367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.