Individual provider Active NPI

Mufti Saadat Ahmed Farooqi, M.D.

  • Gastroenterology Physician
  • Fresno, CA
National Provider Identifier
1275610503
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A69294 Issued in CA
Practice address
1332 W Herndon Ave
Suite Number 100
Fresno, CA 93711-7118
Phone
(559) 435-1979
Fax
(559) 434-9988
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A69294 CA Primary

Addresses

Primary practice location

1332 W Herndon Ave
Suite Number 100
Fresno, CA 93711-7118

Mailing address

513 E Mariners Cir
Fresno, CA 93720-0848
Phone (559) 434-0281

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060130000636 CA Practitioner - Gastroenterology 6002820040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1095 E Warner Ave
Suite 102
Fresno, CA 93710-4000
Phone (559) 435-1979

1332 W Herndon Ave
Fresno, CA 93711-7118

Hospital & facility affiliations

  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

Merit-based Incentive Payment System (MIPS)

Final score
16.73 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
55.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy120
Upper gastrointestinal (GI) endoscopy for acid reflux158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69294CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mufti Saadat Ahmed Farooqi M.D. Inc Gastroenterology CurrentSince Dec 1, 2006 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients

Locations

1095 E Warner Ave
Ste 102
Fresno, CA 93710
Phone (559) 432-1520

1332 W Herndon Ave
Ste 100
Fresno, CA 93711
Phone (559) 432-1647

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275610503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 E MARINERS CIR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200848",
            "telephone_number": "559-434-0281",
            "fax_number": "559-434-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W HERNDON AVE",
            "address_2": "SUITE NUMBER 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117118",
            "telephone_number": "559-435-1979",
            "fax_number": "559-434-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQI",
        "first_name": "MUFTI SAADAT",
        "middle_name": "AHMED",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A69294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.