Individual provider Active NPI

Farid A Irshad, PA

  • Medical Physician Assistant
  • Cumberland, RI
National Provider Identifier
1093855900
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00420 Issued in RI
Practice address
3353 Mendon Rd Ste 3
Cumberland, RI 02864
Phone
(401) 405-0899
Fax
(401) 405-0890
NPI assigned
Feb 8, 2007
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00420 RI Primary

Addresses

Primary practice location

3353 Mendon Rd Ste 3
Cumberland, RI 02864

Mailing address

3353 Mendon Rd Ste 3
Cumberland, RI 02864-2122
Phone (401) 405-0899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20070629000488 RI Practitioner - Physician Assistant 6406951102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3353 Mendon Rd
Suite 3
Cumberland, RI 02864-2122
Phone (401) 405-0899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00420RIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary and Sleep Office of New England PC Past Accepting new patients
Nes Rhode Island, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1093855900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 MENDON RD STE 3",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028642122",
            "telephone_number": "401-405-0899",
            "fax_number": "401-405-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 MENDON RD STE 3",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "02864",
            "telephone_number": "401-405-0899",
            "fax_number": "401-405-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRSHAD",
        "first_name": "FARID",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

Verify at the official NPI Registry.