Individual provider Active NPI

Tassawar Farooq, DPM

  • Student in an Organized Health Care Education/Training Program
  • Indianapolis, IN
National Provider Identifier
1144018524
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
41000505A Issued in IN
Practice address
10122 E 10TH St Ste 230
Indianapolis, IN 46229-2664
Phone
(317) 355-7356
NPI assigned
Apr 28, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 41000505A IN Primary

Addresses

Primary practice location

10122 E 10TH St Ste 230
Indianapolis, IN 46229-2664

Mailing address

2500 Stirling Dr
Valparaiso, IN 46383-8032
Phone (765) 430-5082

Other practice location 1

2500 Stirling Dr
Valparaiso, IN 46383-8032
Phone (765) 430-5082

Other identifiers 1

IdentifierTypeStateIssuer
300115753MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702002351 IN Order and Referring Only - PodiatryPractitioner - Podiatry 7810400744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41000505AINMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: tfarooq637353@ecommunitydirect.com

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1144018524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STIRLING DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838032",
            "telephone_number": "765-430-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10122 E 10TH ST STE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292664",
            "telephone_number": "317-355-7356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Stirling Dr",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463838032",
            "country_code": "US",
            "telephone_number": "765-430-5082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "TASSAWAR",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "41000505A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300115753",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.