Active NPI
Patrick Dunleavy Farrell, D.O.
- Family Medicine Physician
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H0098041
- Practice address
- 9093 Ridgefield Dr Ste 104
Frederick, MD 21701-6711 - Phone
- (301) 682-4100
- NPI assigned
- Apr 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2018020870 | MO | |
| Family Medicine Physician | 207Q00000X | 125069142 | IL | |
| Family Medicine Physician | 207Q00000X | H0098041 | MD | Primary |
Addresses
Primary practice location
9093 Ridgefield Dr Ste 104
Frederick, MD 21701-6711
Mailing address
3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284
Phone (618) 233-5480
Other practice location 1
180 S 3rd St
Suite 300
Belleville, IL 62220-1952
Phone (618) 233-5480
Other practice location 2
3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269
Phone (618) 233-5480 ext. 44322
Other practice location 3
300 1st Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000
Other practice location 4
100 Medical Plz
Lake St Louis, MO 63367-1366
Phone (636) 625-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125069142 | IL | MD | Family Medicine Physician |
| H0098041 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Care Center LLC | Current | Accepting new patients | |
| Privia Care Center LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Menocal Medical Services PA | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140
301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041
110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138
9093 Ridgefield Dr
Ste 104
Frederick, MD 21701
Phone (240) 913-5950
11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
Family Medicine, MD
-
- Family Medicine Physician
- Frederick, MD
- NPI 1083795918
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1730664012
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1053765487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SAINT ELIZABETH BLVD STE 4000",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691284",
"telephone_number": "618-233-5480",
"fax_number": "618-222-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9093 RIDGEFIELD DR STE 104",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016711",
"telephone_number": "301-682-4100"
}
],
"practiceLocations": [
{
"address_1": "180 S 3rd St",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622201952",
"country_code": "US",
"telephone_number": "618-233-5480",
"fax_number": "618-222-4790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Saint Elizabeth Blvd Ste 4000",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "IL",
"postal_code": "62269",
"country_code": "US",
"telephone_number": "618-233-5480 x44322",
"fax_number": "618-222-4790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 1st Capitol Dr",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633012844",
"country_code": "US",
"telephone_number": "636-947-5000",
"fax_number": "636-947-5090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Medical Plz",
"address_purpose": "LOCATION",
"city": "Lake St Louis",
"state": "MO",
"postal_code": "633671366",
"country_code": "US",
"telephone_number": "636-625-5200",
"fax_number": "636-625-5314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARRELL",
"first_name": "PATRICK",
"middle_name": "DUNLEAVY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-22",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2018020870",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125069142",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "H0098041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.