Active NPI
Michael S Fakhraee, MD
- Surgery of the Hand (Plastic Surgery) Physician
- Philadelphia, PA
National Provider Identifier
1215973565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- MD018776E
- Practice address
- 7500 Central Ave
Suite 101
Philadelphia, PA 19111-2431 - Phone
- (215) 728-8200
- Fax
- (215) 725-3209
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | MD018776E | PA | Primary |
Addresses
Primary practice location
7500 Central Ave
Suite 101
Philadelphia, PA 19111-2431
Mailing address
7500 Central Ave
Suite 101
Philadelphia, PA 19111-2431
Phone (215) 728-8200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400138 | Other | PA | BLUE CROSS &BLUE SHIELD |
| 0052487000 | Other | PA | KEYSONE HEALTH PLAN EAST |
| 400138 | Other | PA | PERSONAL CHOICE |
| 400138 | Other | PA | FEDERAL BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1215973565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 CENTRAL AVE",
"address_2": "SUITE 101",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112431",
"telephone_number": "215-728-8200",
"fax_number": "215-725-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 CENTRAL AVE",
"address_2": "SUITE 101",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112431",
"telephone_number": "215-728-8200",
"fax_number": "215-725-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKHRAEE",
"first_name": "MICHAEL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "PA",
"license": "MD018776E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS &BLUE SHIELD",
"identifier": "400138",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSONE HEALTH PLAN EAST",
"identifier": "0052487000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "400138",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLUE CROSS",
"identifier": "400138",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.