Individual provider Active NPI

Zeeshan Faruqui, MBBS

  • Psychiatry Physician
  • Chambersburg, PA
National Provider Identifier
1164710216
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD464411 Issued in PA
Practice address
100 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7301
Phone
(717) 709-7930
Fax
(717) 709-7931
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 26344 WV
Psychiatry Physician 2084P0800X 0101257295 VA
Psychiatry Physician 2084P0800X MD464411 PA Primary

Addresses

Primary practice location

100 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7301

Mailing address

111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181009000804 PA Practitioner - Psychiatry 6305084286 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101257295VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rural Health Center Current Accepting new patients
Keystone Rural Health Center CurrentSince Sep 17, 2018 Accepting new patients

Locations

820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313

110 Chambers Hill Dr
Chambersburg, PA 17201
Phone (717) 709-7930

22 St Paul Dr
Ste 200
Chambersburg, PA 17201
Phone 71770979227985

100 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7930

111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900

133 W Catherine St
Ste 102
Chambersburg, PA 17201
Phone (717) 709-7934

Interoperability endpoints

  • Direct secure messaging: zfaruqui242001@wellspan.direct-ci.com

Organizations & group practices 2

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1164710216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7922",
            "fax_number": "717-263-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHAMBERS HILL DR STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017301",
            "telephone_number": "717-709-7930",
            "fax_number": "717-709-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARUQUI",
        "first_name": "ZEESHAN",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "26344",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101257295",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD464411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.