Active NPI
Farhan Ibrahimi, MD
- Internal Medicine Physician
- Northborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 236049
- Practice address
- 10,010 K Shops Way
Northborough, MA 01532 - Phone
- (508) 936-3866
- NPI assigned
- Jan 25, 2007
- Last updated
- Oct 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 236049 | MA | Primary |
Addresses
Primary practice location
10,010 K Shops Way
Northborough, MA 01532
Mailing address
1215 Broadway
Raynham, MA 02767-1942
Phone (508) 894-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236049 | Other | MA | MASSACHUSSETTS MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Newton St
Southborough, MA 01772-1215
Phone (508) 486-4472
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Riverbend Medical Group, Inc | Past | Accepting new patients |
Locations
24 Newton St
Southborough, MA 01772
Phone (508) 460-3190
123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
5 Neponset St
Fl 12
Worcester, MA 01606
Phone (508) 852-6175
Organizations & group practices 2
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.
-
dba Trinity Health Of New England Medical Group
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1639280779
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marlborough Hospital
- Registered Dietitian
- Marlborough, MA
- NPI 1104488170
Hospital
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
-
dba MetroWest Medical Center
- General Acute Care Hospital
- Framingham, MA
- NPI 1740252592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1275688442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 BROADWAY",
"city": "RAYNHAM",
"state": "MA",
"postal_code": "027671942",
"telephone_number": "508-894-0400",
"fax_number": "508-565-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10,010 K SHOPS WAY",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "01532",
"telephone_number": "508-936-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIMI",
"first_name": "FARHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "236049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSSETTS MEDICAL LICENSE",
"identifier": "236049",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.