Organization Active NPI

Rodolfo D Farhy, MD, Facc, Faha, PLLC

  • Specialist
  • Lathrup Village, MI
National Provider Identifier
1255459210
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301061075 Issued in MI
Legal business name
RODOLFO D FARHY, MD, FACC, FAHA, PLLC
Practice address
18915 W 12 Mile Rd
Lathrup Village, MI 48076-2575
Phone
(248) 655-4490
Fax
(248) 655-4491
NPI assigned
Mar 27, 2007
Last updated
Dec 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Dr. Rodolfo D Farhy, MDNPI 1477542579
Title
Physician
Phone
(248) 655-4490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301061075 MI Primary

Addresses

Primary practice location

18915 W 12 Mile Rd
Lathrup Village, MI 48076-2575

Mailing address

18915 W 12 Mile Rd
Lathrup Village, MI 48076-2575
Phone (248) 655-4490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040228000443 MI Part B Supplier - Clinic/Group Practice 3375430960 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI; Lathrup Village, MI

National Provider Directory

National Provider Directory

Locations

30301 Woodward Ave
Ste LL160
Royal Oak, MI 48073
Phone (248) 655-4490

25000 Hall Rd
Ste 1
Woodhaven, MI 48183
Phone (734) 675-1280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1255459210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18915 W 12 MILE RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762575",
            "telephone_number": "248-655-4490",
            "fax_number": "248-655-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18915 W 12 MILE RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762575",
            "telephone_number": "248-655-4490",
            "fax_number": "248-655-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO D FARHY, MD, FACC, FAHA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "FARHY",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-655-4490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301061075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.