Individual provider Active NPI

Faryal Baloch, M.D.

  • Rheumatology Physician
  • Covington, GA
National Provider Identifier
1174519847
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
050939 Issued in GA
Practice address
1775 Access Rd
Suite C
Covington, GA 30014-1987
Phone
(678) 729-0003
Fax
(770) 255-0125
NPI assigned
Sep 27, 2005
Last updated
Nov 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 050939 GA Primary

Addresses

Primary practice location

1775 Access Rd
Suite C
Covington, GA 30014-1987

Mailing address

1775 Access Rd
Suite C
Covington, GA 30014-1987
Phone (678) 729-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20041015000653 GA Practitioner - Internal MedicinePractitioner - Rheumatology 8628038429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1775 Access Rd
Suite C
Covington, GA 30014-1987
Phone (678) 729-0003

1775 Access Rd C
Covington, GA 30014-1987

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050939GAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Metro Rheumatology LLC Rheumatology CurrentSince Jun 1, 2006 Accepting new patients
Atlanta Multi Specialty Group Past Accepting new patients

Locations

1775 Access Rd
Ste C
Covington, GA 30014
Phone (678) 729-0003

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1174519847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 ACCESS RD",
            "address_2": "SUITE C",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141987",
            "telephone_number": "678-729-0003",
            "fax_number": "770-255-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 ACCESS RD",
            "address_2": "SUITE C",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141987",
            "telephone_number": "678-729-0003",
            "fax_number": "770-255-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOCH",
        "first_name": "FARYAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "050939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.