Active NPI
Sara Farooqui, MD
- Dermatology Physician
- Detroit, MI
National Provider Identifier
1295577971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4351052864
- Practice address
- 4201 Saint Antoine St Ste 7C
Detroit, MI 48201-2153 - Phone
- (313) 429-7843
- NPI assigned
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4351052864 | MI | |
| Dermatology Physician | 207N00000X | 4351052864 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St Ste 7C
Detroit, MI 48201-2153
Mailing address
4201 Saint Antoine St Ste 7C
Detroit, MI 48201-2153
Phone (313) 429-7843
Other practice location 1
50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240725000513 | MI | Order and Referring Only - Internal Medicine | 2961948047 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351052864 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Dermatology | Past | Accepting new patients |
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": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1295577971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST STE 7C",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-429-7843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST STE 7C",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-429-7843"
}
],
"practiceLocations": [
{
"address_1": "50 N Perry St",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483422217",
"country_code": "US",
"telephone_number": "248-338-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAROOQUI",
"first_name": "SARA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4351052864",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4351052864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.