Sadaf Waqar, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

53002 Issued in CT

Practice address

30 West Avon Road
Suite E
Avon, CT 06001-4275

Phone

(860) 674-9900

Fax

(860) 678-0036

NPI assigned

Mar 22, 2009

Last updated

Feb 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, RI, CT3 enrollments

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 3

Specialty

Dermatology

Education

Arizona College of Osteopathic Medicine Mid Western University, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Commonwealth Dermatology PLLCGroup PAC ID 8820493547, 3 clinicians

Farmington Valley Dermatology and Surgery LLCGroup PAC ID 8123240132, 9 clinicians

Agape Medical Spa and Weight Loss Center LLCGroup PAC ID 4486870318, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFBHAA

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.

• Farmington Valley Dermatology and Surgery, LLC

  • Dermatology Physician
  • Avon, CT
  • NPI 1164835153
  Medicare reassignment Care Compare group NPD Authorized official
• Commonwealth Dermatology PLLC

  • Dermatology Physician
  • Worcester, MA
  • NPI 1205405834
  Medicare reassignment Care Compare group NPD Authorized official
• Agape Medical Spa and Weight Loss Center LLC

  dba Agape Dermatology of Fall River

  • Dermatology Physician
  • Fall River, MA
  • NPI 1740607845
  Medicare reassignment Care Compare group
• Agape Dermatology of Johnston LLC

  • Dermatology Physician
  • Johnston, RI
  • NPI 1871304337
  Medicare reassignment NPD
• Farmington Valley Dermatology and Surgery, LLC

  • Non-Pharmacy Dispensing Site
  • South Windsor, CT
  • NPI 1992563902
  Authorized official Same address or phone
• Agape Dermatology of Fall River LLC

  • Dermatology Physician
  • Fall River, MA
  • NPI 1205621554
  NPD
• Berkshire Allergy Care, P.C.

  • Allergy & Immunology Physician
  • Pittsfield, MA
  • NPI 1033328786
  NPD (past)
• Daniel E Viders MD PC

  • Dermatology Physician
  • Auburn, MA
  • NPI 1033163126
  NPD (past)
• Fall River Dermatology PC

  • Dermatology Physician
  • Fall River, MA
  • NPI 1811232820
  NPD (past)

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

{
    "created_epoch": "1237680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1205077146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WEST AVON ROAD",
            "address_2": "SUITE E",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014275",
            "telephone_number": "860-674-9900",
            "fax_number": "860-678-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WEST AVON ROAD",
            "address_2": "SUITE E",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014275",
            "telephone_number": "860-674-9900",
            "fax_number": "860-678-0036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1526 Atwood Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193289",
            "country_code": "US",
            "telephone_number": "401-396-2227",
            "fax_number": "401-421-1120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Davol St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027201028",
            "country_code": "US",
            "telephone_number": "774-488-5888",
            "fax_number": "508-674-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAQAR",
        "first_name": "SADAF",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-22",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS10136",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "53002",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS10136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Avon, CT
• Providers in Avon, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.

Verify at the official NPI Registry.