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
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kadlec Regional Medical Center
Practice addresses (Care Compare)
1135 Jadwin Ave
Richland, WA 99352-3434
Phone (509) 942-3300
Hospital & facility affiliations
- FKC Columbia Basin
- DaVita Chinook Kidney Center
- DaVita Mid Columbia Kidney Center
- Kadlec Regional Medical Center
- Prosser Memorial Hospital
- Providence St Mary Medical Center
- Samaritan Hospital
- Good Shepherd Medical Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050210000875 | WA | Practitioner - Nephrology |
2062491160 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00043592 | WA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current |
Accepting new patients | |
| Kadlec Regional Medical Center | Current |
Accepting new patients | |
| Prosser Public Hospital District of Benton County | Specialist | Current |
Accepting new patients |
| Kadlec Regional Medical Center | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8415572 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | farif1106893@wm.providencedirect.org | Direct |
NPI Registry JSON
{
"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
- Stefanie Archer
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- Mayra Arias Farias
- Erica V. Arias
- Aric D Robertson OD PLLC
- Jasmine Arizpe Valdez
- Michelle Armenta
- Sarah Armistead
- Kassidy N Arnold
- Michael Anthony C. Arnuco
All providers in Kennewick, WA · Nephrology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.