Individual provider Active NPI

Samir F Farag, M.D.

  • Psychiatry Physician
  • Eagleville, PA
National Provider Identifier
1285648329
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD039341L Issued in PA
Practice address
3301 Ridge Pike
Eagleville, PA 19403-1411
Phone
(610) 917-2200
Fax
(610) 917-2360
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD039341L PA Primary

Addresses

Primary practice location

3301 Ridge Pike
Eagleville, PA 19403-1411

Mailing address

PO Box 432
Gwynedd Valley, PA 19437-0432
Phone (610) 917-2200

Other identifiers 1

IdentifierTypeStateIssuer
09727980112MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050513000062 PA Practitioner - Psychiatry 4880580752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Penn Psychiatric Center IncGroup PAC ID 9537055405, 8 clinicians

Practice addresses (Care Compare)

3301 Ridge Pike
Eagleville, PA 19403-1411
Phone (610) 917-2200

601 Gay St
Phoenixville, PA 19460-3852
Phone (610) 917-2200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Psychiatric Center Inc CurrentSince Sep 19, 1984 Accepting new patients

Locations

3774 Ridge Pike
Collegeville, PA 19426
Phone (610) 489-3333

3774 Ridge Pike
Ste 101
Collegeville, PA 19426
Phone (610) 489-3330

3301 Ridge Pike
Norristown, PA 19403
Phone (610) 539-9100

601 Gay St
Phoenixville, PA 19460
Phone (610) 917-2200

601 Gay St
Ste 8
Phoenixville, PA 19460
Phone (610) 917-2200

Interoperability endpoints

  • Direct secure messaging: samir.farag@ppcmh.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDIBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1285648329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "GWYNEDD VALLEY",
            "state": "PA",
            "postal_code": "194370432",
            "telephone_number": "610-917-2200",
            "fax_number": "610-917-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 RIDGE PIKE",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031411",
            "telephone_number": "610-917-2200",
            "fax_number": "610-917-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAG",
        "first_name": "SAMIR",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD039341L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09727980112",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagleville, PA

Sources for this page

Verify at the official NPI Registry.