Active NPI
Farjad Siddiqui
- Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 96721
- Practice address
- Emory University School of Medicine, 1365 Clifton Road
BLDG B, 6TH Floor
Atlanta, GA 30322-0001 - Phone
- (855) 366-7989
- Fax
- (404) 712-2617
- NPI assigned
- Jul 7, 2015
- Last updated
- Oct 9, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Transplant Surgery Physician | 204F00000X | 35.138401 | OH | |
| Surgery Physician | 208600000X | 96721 | GA | Primary |
| Surgical Critical Care Physician | 2086S0102X | 35.138401 | OH |
Addresses
Primary practice location
Emory University School of Medicine, 1365 Clifton Road
BLDG B, 6TH Floor
Atlanta, GA 30322-0001
Mailing address
Emory University School of Medicine, 1365 Clifton Road
BLDG B, 6TH Floor
Atlanta, GA 30322-0001
Phone (855) 366-7989
Other practice location 1
94 Old Short Hills Rd
Saint Barnabas Medical Center
Livingston, NJ 07039-5672
Phone (973) 322-5777
Other practice location 2
1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.138401 | OH | MD | Transplant Surgery Physician |
| 96721 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Transplant Surgery | Current | Accepting new patients |
| Choa Multispecialty, LLC | Current | Accepting new patients | |
| Choa Hospital Based, LLC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Emory Health Care | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1365 Clifton Rd NE
Bldg B
Atlanta, GA 30322
Phone (404) 778-2020
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
2015 Upper Gate Dr NE
Atlanta, GA 30322
Phone (404) 778-2400
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440
Interoperability endpoints
- fsiddiqui681775@direct.emory.org
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1437493467
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory University Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
dba Emory University Hospital At Wesley Woods
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1295118412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EMORY UNIVERSITY SCHOOL OF MEDICINE, 1365 CLIFTON ROAD",
"address_2": "BLDG B, 6TH FLOOR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220001",
"telephone_number": "855-366-7989",
"fax_number": "404-712-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EMORY UNIVERSITY SCHOOL OF MEDICINE, 1365 CLIFTON ROAD",
"address_2": "BLDG B, 6TH FLOOR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220001",
"telephone_number": "855-366-7989",
"fax_number": "404-712-2617"
}
],
"practiceLocations": [
{
"address_1": "94 Old Short Hills Rd",
"address_2": "Saint Barnabas Medical Center",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "NJ",
"postal_code": "070395672",
"country_code": "US",
"telephone_number": "973-322-5777",
"fax_number": "973-322-8720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Akron General Ave",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443072432",
"country_code": "US",
"telephone_number": "330-344-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "FARJAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-07",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "OH",
"license": "35.138401",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "96721",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "OH",
"license": "35.138401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.