Organization Active NPI

Ahmad Farah DPM PC

Doing business as Farah Podiatry Associates

  • Foot & Ankle Surgery Podiatrist
  • Trenton, MI
National Provider Identifier
1255705497
Registry record updated Nov 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002222 Issued in MI
Legal business name
AHMAD FARAH DPM PC
Doing business as
Farah Podiatry Associates
Practice address
2105 West Rd
Suite a
Trenton, MI 48183-3897
Phone
(734) 675-7777
Fax
(734) 675-7785
NPI assigned
Nov 28, 2015
Last updated
Nov 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2015

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

Authorized official

Name
Dr. Ahmad Rafeek Farah, DPMNPI 1285730531
Title
President
Phone
(734) 675-7777

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901002222 MI Primary

Addresses

Primary practice location

2105 West Rd
Suite a
Trenton, MI 48183-3897

Mailing address

2105 West Rd
Suite a
Trenton, MI 48183-3897
Phone (734) 675-7777

Other identifiers 1

IdentifierTypeStateIssuer
1285730531OtherINDIVIDUAL MEDICARE NPI

Other names 1

  • Farah Podiatry Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151223001668 MI Part B Supplier - Clinic/Group Practice 9234430877 Receives reassigned benefits from 4 practitioners
Practice locations: Trenton, MI

National Provider Directory

National Provider Directory

Locations

2105 West Rd
Ste A
Trenton, MI 48183
Phone (734) 675-7777

Practitioners & affiliated clinicians

Practitioners 4

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": "1448668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448668800000",
    "number": "1255705497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 WEST RD",
            "address_2": "SUITE A",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833897",
            "telephone_number": "734-675-7777",
            "fax_number": "734-675-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 WEST RD",
            "address_2": "SUITE A",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833897",
            "telephone_number": "734-675-7777",
            "fax_number": "734-675-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD FARAH DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-28",
        "last_updated": "2015-11-28",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "RAFEEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-675-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE NPI",
            "identifier": "1285730531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farah Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2015; 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.