Faraz Mohammad Sabir, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3784 Issued in CT

Practice address

71 Haynes St
Manchester, CT 06040-4131

Phone

(860) 647-6475

NPI assigned

Feb 21, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Medical Center LLCGroup PAC ID 0840570628, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Urgent Care Medical Center LLC

  • Urgent Care Clinic/Center
  • Ellington, CT
  • NPI 1295186286
  Medicare reassignment Care Compare group
• Emergency Care Services of Connecticut, P.C.

  • Emergency Medicine Physician
  • Manchester, CT
  • NPI 1518519461
  Medicare reassignment
• Emergency Medicine Physicians of Fairfield County, LLC

  • Emergency Medicine Physician
  • Stamford, CT
  • NPI 1689614109
  Medicare reassignment
• Emergency Medicine Physicians of New Haven County,LLC

  • Emergency Medicine Physician
  • Meriden, CT
  • NPI 1083910962
  Medicare reassignment
• Emergency Physicians of Connecticut PC

  • Emergency Medicine Physician
  • Waterbury, CT
  • NPI 1902278906
  Medicare reassignment
• Prospect CT Medical Foundation, Inc.

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1144677568
  Medicare reassignment
• Prospect Manchester Hospital, Inc.

  • General Acute Care Hospital
  • Manchester, CT
  • NPI 1316394638
  Medicare reassignment
• Prospect Manchester Hospital, Inc.

  • Health Educator
  • South Windsor, CT
  • NPI 1821695222
  NPD
• Eastern Connecticut Medical Professionals Foundation, Inc

  • Specialist
  • South Windsor, CT
  • NPI 1497864516
  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1063951200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PLATT AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-647-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIR",
        "first_name": "FARAZ",
        "middle_name": "MOHAMMAD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT STATE PHYSICIAN ASSISTANT LICENSE",
            "identifier": "3784",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryce Russell
• Jael Russell, AUD
• Kristin Russell
• Vanessa Edythe Russo, OTR/L
• Patricia Sabia
• Zeenat Safiullah, LCSW-C
• Edgar F Salas, DMD
• Richard Salazar
• Ruth Sales
• Rossetta Salmon, REGISTERED NURSE

• Physician Assistant in Manchester, CT
• Providers in Manchester, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.