Individual provider Active NPI

Faraaz Chekeni, MD, PHD

  • Pediatrics Physician
  • Napa, CA
National Provider Identifier
1104183904
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A127321 Issued in CA
Practice address
300 Hartle CT
Napa, CA 94559-4078
Phone
(707) 254-1775
NPI assigned
Apr 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A127321 CA Primary
Pediatrics Physician 208000000X 35144830 OH

Addresses

Primary practice location

300 Hartle CT
Napa, CA 94559-4078

Mailing address

1141 Pear Tree LN
Napa, CA 94558-6484
Phone (707) 254-1770

Other identifiers 1

IdentifierTypeStateIssuer
0486331MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150811003909 CA Practitioner - Pediatric Medicine 1153636816 Reassigns benefits to 1 organization
I20220616002365 OH Practitioner - Pediatric Medicine 1153636816 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A127321CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health CurrentSince Sep 16, 2024 Accepting new patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince Aug 1, 2022 Accepting new patients
Ole Health CurrentSince Sep 16, 2024 Accepting new patients
Ole Health Current Accepting new patients
Ole Health Past Accepting new patients

Locations

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

300 Hartle Ct
Napa, CA 94559
Phone (707) 254-1775

1141 Pear Tree Ln
Napa, CA 94558
Phone (707) 258-6128

4560 Morse Centre Rd
Columbus, OH 43229
Phone (614) 355-9400

Dept L289
Columbus, OH 43260

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

Organizations & group practices 5

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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1104183904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586484",
            "telephone_number": "707-254-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HARTLE CT",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945594078",
            "telephone_number": "707-254-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEKENI",
        "first_name": "FARAAZ",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A127321",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35144830",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486331",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.