Active NPI
Farooq Amin, M.D.
- Psychiatry Physician
- Germantown, MD
National Provider Identifier
1194992032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D76028
- Practice address
- 13238 Executive Park Ter
Germantown, MD 20874 - Phone
- (301) 820-1715
- NPI assigned
- May 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 254909 | NY | |
| Psychiatry Physician | 2084P0800X | D76028 | MD | Primary |
| Psychiatry Physician | 2084P0800X | A122653 | CA |
Addresses
Primary practice location
13238 Executive Park Ter
Germantown, MD 20874
Mailing address
13238 Executive Park Ter
Germantown, MD 20874
Phone (718) 275-1013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13243 Executive Park Ter
Germantown, MD 20874-2648
Phone (301) 820-1715
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122653 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Psychiatric Consultation, PC | Psychiatry | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
13243 Executive Park Ter
Germantown, MD 20874
Phone (301) 820-1715
13238 Executive Park Ter
Germantown, MD 20874
Phone (240) 813-3814
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1194992032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13238 EXECUTIVE PARK TER",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "20874",
"telephone_number": "718-275-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13238 EXECUTIVE PARK TER",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "20874",
"telephone_number": "301-820-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "FAROOQ",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "254909",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D76028",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A122653",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
- Josie Amberman
- American Oncology Partners, P.a. (Greater Washington Oncology Associates)
- American Oncology Partners, P.a. (Center for Cancer & Blood Disorders)
- American Sports and Spine Institute, L.L.C.
- Elysia Janelle Ames, CMT
- Yasmin Amiri
- Konstantina Anagnostopoulos, LGPC
- Arleen Anderson, LGPC
- Brenna M Anderson, MS, BCBA
- Candace Anderson, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.