Fareed Ahmed Arif, M.D.

Individual provider Active NPI Nephrology Physician · Kennewick, WA

NPI 1073616611 · NPPES record last updated Apr 5, 2021

Key facts

NPI
1073616611
Entity type
Individual (NPI type 1)
Primary specialty
Nephrology Physician 207RN0300X
License
MD00043592 (WA)
Practice address
510 N Colorado St
Ste a
Kennewick, WA 99336-7770
Phone
(509) 735-6689
Fax
(509) 735-6998
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nephrology
Also: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kadlec Regional Medical Center (402 clinicians)

Practice addresses (Care Compare)

1135 Jadwin Ave
Richland, WA 99352-3434
Phone (509) 942-3300

Hospital & facility affiliations

  • FKC Columbia Basin Dialysis facility · Kennewick, WA · CCN 502518
  • DaVita Chinook Kidney Center Dialysis facility · Richland, WA · CCN 502559
  • DaVita Mid Columbia Kidney Center Dialysis facility · Pasco, WA · CCN 502504
  • Kadlec Regional Medical Center Hospital · Richland, WA · CCN 500058
  • Prosser Memorial Hospital Hospital · Prosser, WA · CCN 501312
  • Providence St Mary Medical Center Hospital · Walla Walla, WA · CCN 500002
  • Samaritan Hospital Hospital · Moses Lake, WA · CCN 500033
  • Good Shepherd Medical Center Hospital · Hermiston, OR · CCN 381325

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050210000875 WA Practitioner - Nephrology
Practitioner - Internal Medicine
2062491160 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00043592WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center Current Accepting new patients
Prosser Public Hospital District of Benton County Current
since Feb 1, 2015
Accepting new patients
Kadlec Regional Medical Center Current
since Jan 1, 2013
Accepting new patients
Prosser Public Hospital District of Benton County Specialist Current
since Feb 1, 2015
Accepting new patients
Kadlec Regional Medical Center Current
since Jan 1, 2013
Accepting new patients
Prosser Public Hospital District of Benton County Current Accepting new patients

Locations

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

510 N Colorado St
Ste A
Kennewick, WA 99336
Phone (509) 735-6689

550 Gage Blvd
Ste 101
Richland, WA 99352

900 Stevens Dr
Ste 101
Richland, WA 99352
Phone (509) 942-3180

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

780 Swift Blvd
Ste 130
Richland, WA 99352
Phone (509) 942-3244

800 Swift Blvd
Ste 280
Richland, WA 99352
Phone (509) 942-2360

945 Goethals Dr
Ste 200
Richland, WA 99352
Phone (509) 942-2555

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00043592 WA
Nephrology Physician 207RN0300X MD00043592 WA Yes

Addresses

Primary practice location

510 N Colorado St
Ste a
Kennewick, WA 99336-7770

Mailing address

550 Gage Blvd
Ste 101
Richland, WA 99352-9532
Phone (509) 942-3156

Other practice location 1

900 Stevens Dr Ste 101
Richland, WA 99352-3536
Phone (509) 942-3163

Other identifiers

IdentifierTypeStateIssuer
8415572MedicaidWA

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address farif1106893@wm.providencedirect.org Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 5, 2021.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1073616611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GAGE BLVD",
            "address_2": "STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529532",
            "telephone_number": "509-942-3156",
            "fax_number": "509-735-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N COLORADO ST",
            "address_2": "STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367770",
            "telephone_number": "509-735-6689",
            "fax_number": "509-735-6998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Stevens Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523536",
            "country_code": "US",
            "telephone_number": "509-942-3163",
            "fax_number": "509-943-5922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARIF",
        "first_name": "FAREED",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00043592",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00043592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8415572",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "farif1106893@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 Stevens Dr Ste 101",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993523536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennewick, WA

All providers in Kennewick, WA · Nephrology Physician in Washington

Sources for this page

Verify at the official NPI Registry.