Farda Qayyum, MD
Individual provider Active NPI Vascular Surgery Physician · Philadelphia, PA
NPI 1285076158 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1285076158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- MD464911 (PA)
- Practice address
- 3509 N Broad St
Philadelphia, PA 19140-4105 - Phone
- (215) 707-8484
- Fax
- (215) 707-5901
- NPI assigned
- Jul 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Drexel University College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Temple Faculty Practice Plan Inc
Practice addresses (Care Compare)
1650 Huntingdon Pike
Meadowbrook, PA 19046-8004
Phone (215) 707-7200
Hospital & facility affiliations
- Temple University Hospital
- Temple Health - Chestnut Hill Hospital
- Hospital of the Fox Chase Cancer Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.06 of 100
- Quality
- 62.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.6 of 100
- Quality
- 70.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.93
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 14 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180918000040 | PA | Practitioner - Vascular Surgery |
0345472221 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD464911 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan, Inc | Current |
Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current |
Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients |
Locations
1650 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 707-7200
3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522
3500 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3656
Interoperability endpoints
- fqayyum424776@upmc.direct-ci.com
- farda.qayyum@upmcdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD464911 | PA | |
| Vascular Surgery Physician | 2086S0129X | FQ0642315 | PA | |
| Vascular Surgery Physician | 2086S0129X | MD464911 | PA | Yes |
Addresses
Primary practice location
3509 N Broad St
Philadelphia, PA 19140-4105
Mailing address
3500 N Broad St
Philadelphia, PA 19140-4106
Phone (215) 707-2433
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fqayyum9779@phsdirect.pinnaclehealth.org |
Other providers in Philadelphia, PA
- Muhammad Husnain Qaiser
- Mohammad Taqi Qali
- Sheraz Ahmed Qamar
- Taha Qaraqe
- Zaffer A Qasim
- Aisha N Qazi
- Andrew Chang Qi
- Alice Feiyang Qian
- Amy Qiao
- David Clark Qin
All providers in Philadelphia, PA · Vascular Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.