NPIMap

Individual provider Active NPI

Mohamed Farhat, MD

  • Medical Oncology Physician
  • Mishawaka, IN
National Provider Identifier
1104082809
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
01066282A Issued in IN
Practice address
5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone
(574) 237-1328
Fax
(574) 968-9442
NPI assigned
Aug 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301095492 MI
Internal Medicine Physician 207R00000X 036-116126 IL
Medical Oncology Physician 207RX0202X 01066282A IN Primary
Hematology & Oncology Physician 207RH0003X 01066282A IN

Addresses

Primary practice location

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470

Mailing address

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone (574) 237-1328

Other identifiers 3

IdentifierTypeStateIssuer
200947020MedicaidIN
1104082809MedicaidMI
P00760538OtherINRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090814000022 IN Practitioner - Hematology/OncologyPractitioner - Medical Oncology 1052465721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Chicago 1,674 clinicians
Michiana Hematology-Oncology P C 13 clinicians

Practice addresses (Care Compare)

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone (574) 237-1328

800 Indian Boundary Rd
Chesterton, IN 46304-1695
Phone (888) 824-0200

Hospital & facility affiliations

  • Unity Physicians Hospital Hospital, Mishawaka, IN, CCN 150177
  • Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012
  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
  • Saint Joseph Regional Medical Center - Plymouth Hospital, Plymouth, IN, CCN 150076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-116126ILMDInternal Medicine Physician
01066282AINMDHematology & Oncology Physician
4301095492MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Chicago CurrentSince Sep 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Michiana Hematology Oncology of Michigan, P.C. Hematology & Oncology Past Accepting new patients

Locations

1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551

600 Vale Park Rd N
Unit A
Valparaiso, IN 46383
Phone (219) 462-4400

Interoperability endpoints

  • Direct secure messaging: mfarhat1155058@direct.trinity-health.org
  • Direct secure messaging: mfarhat82927@direct.franciscanalliance.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1104082809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 HOLY CROSS PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451470",
            "telephone_number": "574-237-1328",
            "fax_number": "574-968-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 HOLY CROSS PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451470",
            "telephone_number": "574-237-1328",
            "fax_number": "574-968-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHAT",
        "first_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301095492",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-116126",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01066282A",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01066282A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200947020",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104082809",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00760538",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.