NPIMap

Individual provider Active NPI

Farouk M Jaara, M.D.

  • Cardiovascular Disease Physician
  • Casa Grande, AZ
National Provider Identifier
1235193145
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
64152 Issued in AZ
Practice address
803 N Salk Dr
Casa Grande, AZ 85222-5447
Phone
(520) 836-6682
Fax
(602) 240-6177
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 64152 AZ
Cardiovascular Disease Physician 207RC0000X 64152 AZ Primary
Specialist 174400000X 35.046352 OH

Addresses

Primary practice location

803 N Salk Dr
Casa Grande, AZ 85222-5447

Mailing address

PO Box 378
Celina, OH 45822-0378
Phone (419) 953-1989

Other identifiers 1

IdentifierTypeStateIssuer
114310MedicaidAZ

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.046352OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health, Inc Cardiovascular Disease Past Accepting new patients
Arizona Heart Institute Lake Havasu Internal Medicine Past Accepting new patients
Arizona Heart Institute Peoria Internal Medicine Past Accepting new patients
Arizona Heart Institute Gilbert Internal Medicine Past Accepting new patients
Indiana Heart Associates PC Cardiovascular Disease Past Accepting new patients
Arizona Heart Institute LTD Past Accepting new patients
Jackson Physician Corp Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1235193145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458220378",
            "telephone_number": "419-953-1989",
            "fax_number": "419-586-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N SALK DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852225447",
            "telephone_number": "520-836-6682",
            "fax_number": "602-240-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAARA",
        "first_name": "FAROUK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "64152",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "64152",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35.046352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114310",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.