Individual provider Active NPI

Nadeem A Faruqi, MD

  • Interventional Cardiology Physician
  • Petersburg, VA
National Provider Identifier
1205886900
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
0101246823 Issued in VA
Practice address
2563 S Crater Rd
Petersburg, VA 23805-2407
Phone
(804) 520-1080
Fax
(804) 520-1906
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101246823 VA
Interventional Cardiology Physician 207RI0011X 0101246823 VA Primary

Addresses

Primary practice location

2563 S Crater Rd
Petersburg, VA 23805-2407

Mailing address

2563 S Crater Rd
Petersburg, VA 23805-2407
Phone (804) 520-1080

Other identifiers 2

IdentifierTypeStateIssuer
1205886900MedicaidVA
C08277OtherVAVA MEDICARE

Other names 1

  • Nadeem Ashfaque Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110311000769 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1658276142 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dominion Cardiology PCGroup PAC ID 1658542576, 2 clinicians

Practice addresses (Care Compare)

2563 S Crater Rd
Petersburg, VA 23805-2407
Phone (804) 520-1080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.18 of 100Reported as group
Quality
43.43
Improvement activities
40
Cost
75.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101246823VAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Heart and Vascular Clinic Interventional Cardiology CurrentSince Jul 1, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 13, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Cardiovascular Disease CurrentSince Jan 13, 2020 Accepting new patients
Dominion Cardiology PC Cardiovascular Disease CurrentSince Aug 13, 2011 Accepting new patients
Columbia/HCA John Randolph, Inc. Cardiovascular Disease CurrentSince Oct 11, 2017 Accepting new patients
Lakeshore Emergency Solutions, PLLC Past Accepting new patients
Varicose Vein & Vascular Clinic LLC Cardiovascular Disease PastSince Mar 6, 2022 Accepting new patients
Michigan Em-I Medical Services, P.C. Past Accepting new patients
Shelby Emergency Services, LLC Past Accepting new patients
Medical Ambulatory Services for Health PC Past Accepting new patients
Sterling Emergency Services of Michigan, Inc. Past Accepting new patients
Depot Emergency Physicians Past Accepting new patients

Locations

280 Charles H Dimmock Pkwy
Colonial Heights, VA 23834

563 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 431-5626

280 Charles H Dimmock Pkwy
Ste 2
Colonial Hgts, VA 23834
Phone (804) 526-3886

411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624

2731 S Crater Rd
Petersburg, VA 23805
Phone (804) 520-1080

2563 S Crater Rd
Petersburg, VA 23805
Phone (804) 520-1080

40 Medical Park Blvd
Ste B
Petersburg, VA 23805
Phone (804) 520-6730

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Interoperability endpoints

  • Direct secure messaging: dominioncardiology.nadeemfaruqi@120950.advancedmd-direct.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1205886900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052407",
            "telephone_number": "804-520-1080",
            "fax_number": "804-520-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052407",
            "telephone_number": "804-520-1080",
            "fax_number": "804-520-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARUQI",
        "first_name": "NADEEM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101246823",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101246823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205886900",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA MEDICARE",
            "identifier": "C08277",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADEEM",
            "last_name": "ASHFAQUE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.