Individual provider Active NPI

Perry G Farb, DO

  • Family Medicine Physician
  • Springfield, MA
National Provider Identifier
1114902848
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
224137 Issued in MA
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

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A38455OtherMEDICARE B
AA37972OtherHARVARD PILGRIM
042472266OtherUNITED HEALTHCARE
042472266OtherTRICARE CHAMPUS
042472266OtherPRIVATE HEALTHCARE
38788OtherFIRST HEALTH
J29464OtherBLUE CARE ELECT
042472266OtherONE HEALTH PLAN
2106329MedicaidMA
305217OtherTUFTS HEALTH PLAN
4025035OtherCIGNA HEALTHSOURCE
4113555OtherAETNA US HEALTHCARE
92432OtherFALLON 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050624000700 MA Practitioner - Family Practice 7214972710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224137MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Onsite, Inc CurrentSince Feb 24, 2015 Accepting new patients
Accountable Care Clinical Services PC PastSince Sep 1, 2012 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 PastSince Oct 24, 2021 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.

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

Verify at the official NPI Registry.