Ahmed Farrag, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C1318105 Issued in CA

Practice address

500 W Highway 22
Suite 214
Barrington, IL 60010-2313

Phone

(847) 381-3000

Fax

(847) 382-4755

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299

  Family Medicine

  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Redwood City, CA
  • NPI 1639252604

  Family Medicine

  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Blue Island Clinic Company LLC

  • Internal Medicine Physician
  • Blue Island, IL
  • NPI 1609148139

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1255547220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ALHAMBRA AVE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533156",
            "telephone_number": "925-313-7900",
            "fax_number": "925-646-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W HIGHWAY 22",
            "address_2": "SUITE 214",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102313",
            "telephone_number": "847-381-3000",
            "fax_number": "847-382-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAG",
        "first_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C1318105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "FARRAAHM",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Fairbanks, CCC MS/L
• Edwin Raymond Fajardo, PT
• Hanneli M Fanega, APN, CNS
• Behzad Farah, MD
• Michael Irving Farr, D.M.D.
• Maria Fasolo
• Fay Nutrition Network Inc
• Suzanna Faycurry
• Feel Good Counseling Center, LLC
• Feel Good Counseling Center, LLC

• Family Medicine Physician in Barrington, IL
• Providers in Barrington, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.