Individual provider Active NPI

Azam Farooqui, M.D.

  • Hematology & Oncology Physician
  • Chandler, AZ
National Provider Identifier
1265846513
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
60041 Issued in AZ
Practice address
695 S Dobson Rd
Chandler, AZ 85224-5665
Phone
(480) 821-2838
Fax
(480) 821-9444
NPI assigned
Jun 15, 2014
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11017850A IN
Hematology & Oncology Physician 207RH0003X 60041 AZ Primary

Addresses

Primary practice location

695 S Dobson Rd
Chandler, AZ 85224-5665

Mailing address

PO Box 6423
Chandler, AZ 85246-6423
Phone (480) 855-2224

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20200708001356 AZ Practitioner - Hematology/Oncology 4688899057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Rush Medical College of Rush University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ironwood Physicians PCGroup PAC ID 3577454842, 115 clinicians
Newman Memorial Hospital, IncGroup PAC ID 2567482367, shared by 3 NPIs, 29 clinicians

Practice addresses (Care Compare)

695 S Dobson Rd
Chandler, AZ 85224-5665
Phone (480) 821-2838

905 S Main
Shattuck, OK 73858-9205

905 S Main St
Shattuck, OK 73858-9205
Phone (580) 938-2551

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.2 of 100Reported as subgroup
Quality
95.99
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60041AZMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Physicians, PC Hematology & Oncology CurrentSince Aug 24, 2020 Accepting new patients
Ironwood Physicians, PC Hematology & Oncology Current Accepting new patients
Ironwood Physicians, PC Hematology & Oncology CurrentSince Aug 24, 2020 Accepting new patients

Locations

685 S Dobson Rd
Chandler, AZ 85224
Phone (480) 324-5220

695 S Dobson Rd
Chandler, AZ 85224
Phone (480) 821-2823

3686 S Rome St
Gilbert, AZ 85297
Phone (480) 792-6006

1432 S Dobson Rd
Ste 106
Mesa, AZ 85202
Phone (480) 969-3637

6111 E Arbor Ave
Mesa, AZ 85206
Phone (480) 981-1326

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1265846513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423",
            "telephone_number": "480-855-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245665",
            "telephone_number": "480-821-2838",
            "fax_number": "480-821-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQUI",
        "first_name": "AZAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "11017850A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "60041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.