Individual provider Active NPI

Shaib Omar Farouq

  • Driver
  • Aurora, CO
National Provider Identifier
1083454227
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
160810866 Issued in CO
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

Updated by the provider on May 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
160810866COMDDriver
APHM56COMDPrivate Vehicle

Practice roles

OrganizationSpecialtyStatusNew patients
Bilkis Transportation L.L.C. CurrentSince Dec 22, 2024 Accepting new patients
Belkis Transport Services Private Vehicle CurrentSince Jun 2, 2024 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.

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.

Verify at the official NPI Registry.