Organization Active NPI

Shaista H. Faruqui, M.D. Apmc

  • Hematology & Oncology Physician
  • Baton Rouge, LA
National Provider Identifier
1265713572
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SHAISTA H. FARUQUI, M.D. APMC
Doing business as
Hematology/Oncology Clinic
Practice address
5320 Dijon Dr
Baton Rouge, LA 70808-4313
Phone
(225) 769-2161
Fax
(225) 769-2166
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Miss Tammy Regina Taylor
Title
Billing Manager
Phone
(225) 769-2161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

5320 Dijon Dr
Baton Rouge, LA 70808-4313

Mailing address

5320 Dijon Dr
Baton Rouge, LA 70808-4313
Phone (225) 769-2161

Other identifiers 1

IdentifierTypeStateIssuer
1300004MedicaidLA

Other names 1

  • Hematology/Oncology Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111104000624 LA Part B Supplier - Clinic/Group Practice 9537332697 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

5320 Dijon Dr
Baton Rouge, LA 70808
Phone (225) 769-2161

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1265713572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084313",
            "telephone_number": "225-769-2161",
            "fax_number": "225-769-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084313",
            "telephone_number": "225-769-2161",
            "fax_number": "225-769-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAISTA H. FARUQUI, M.D. APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "225-769-2161",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300004",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hematology/Oncology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.