Active NPI
Perry G Farb, DO
- Family Medicine Physician
- Springfield, MA
National Provider Identifier
1114902848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 224137
- Practice address
- 1 Monarch PL
10TH Floor
Springfield, MA 01144-1099 - Phone
- (413) 734-2000
- Fax
- (413) 734-8000
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 224137 | MA | Primary |
Addresses
Primary practice location
1 Monarch PL
10TH Floor
Springfield, MA 01144-1099
Mailing address
1 Monarch PL
10TH Floor
Springfield, MA 01144-1099
Phone (413) 734-2000
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A38455 | Other | MEDICARE B | |
| AA37972 | Other | HARVARD PILGRIM | |
| 042472266 | Other | UNITED HEALTHCARE | |
| 042472266 | Other | TRICARE CHAMPUS | |
| 042472266 | Other | PRIVATE HEALTHCARE | |
| 38788 | Other | FIRST HEALTH | |
| J29464 | Other | BLUE CARE ELECT | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 2106329 | Medicaid | MA | |
| 305217 | Other | TUFTS HEALTH PLAN | |
| 4025035 | Other | CIGNA HEALTHSOURCE | |
| 4113555 | Other | AETNA US HEALTHCARE | |
| 92432 | Other | FALLON COMMUNITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050624000700 | MA | Practitioner - Family Practice | 7214972710 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224137 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Onsite, Inc | Current | Accepting new patients | |
| Accountable Care Clinical Services PC | Past | Accepting new patients | |
| Gardner Operations LLC | Past | Accepting new patients | |
| Reliant Medical Group, Inc | Family Medicine | Past | Accepting new patients |
| Life Care Physician Services, LLC | Past | Accepting new patients |
Locations
969 Park St
Attleboro, MA 02703
Phone (508) 222-4182
335 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-4411
3570 Keith St NW
Cleveland, TN 37312
Phone (423) 473-5026
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1114902848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MONARCH PL",
"address_2": "10TH FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011441099",
"telephone_number": "413-734-2000",
"fax_number": "413-734-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MONARCH PL",
"address_2": "10TH FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011441099",
"telephone_number": "413-734-2000",
"fax_number": "413-734-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARB",
"first_name": "PERRY",
"middle_name": "G",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "224137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "A38455",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA37972",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "38788",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "J29464",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2106329",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "305217",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHSOURCE",
"identifier": "4025035",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "4113555",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "92432",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.