Active NPI
Shaib Omar Farouq
- Driver
- Aurora, CO
National Provider Identifier
1083454227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 160810866
- Practice address
- 1525 Dallas St
Aurora, CO 80010-2014 - Phone
- (303) 285-0250
- Fax
- (303) 285-0139
- NPI assigned
- May 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | APHM56 | CO | |
| Driver | 172A00000X | 160810866 | CO | Primary |
Addresses
Primary practice location
1525 Dallas St
Aurora, CO 80010-2014
Mailing address
1059 Racine St
Aurora, CO 80011-6323
Phone (303) 285-0250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160810866 | CO | MD | Driver |
| APHM56 | CO | MD | Private Vehicle |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bilkis Transportation L.L.C. | Current | Accepting new patients | |
| Belkis Transport Services | Private Vehicle | Current | Accepting new patients |
Locations
1525 Dallas St
Aurora, CO 80010
Phone (303) 285-0250
Organizations & group practices 2
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.
-
- Private Vehicle
- Aurora, CO
- NPI 1063252203
-
- Non-emergency Medical Transport (VAN)
- Aurora, CO
- NPI 1386452787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716768000000",
"number": "1083454227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1059 RACINE ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800116323",
"telephone_number": "303-285-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 DALLAS ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800102014",
"telephone_number": "303-285-0250",
"fax_number": "303-285-0139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAROUQ",
"first_name": "SHAIB",
"middle_name": "OMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-27",
"last_updated": "2024-05-27",
"certification_date": "2024-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "CO",
"license": "APHM56",
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CO",
"license": "160810866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.