Fariba Kharazi, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS020774 Issued in PA

Practice address

2550 PA Route 100
Suite 220
Macungie, PA 18062-9600

Phone

(610) 628-7111

Fax

(833) 820-1003

NPI assigned

Jun 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• St. Luke'S Physician Group, Inc.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• St Luke'S Physician Group Inc

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke'S Physician Group, Inc.

  • Internal Medicine Physician
  • Whitehall, PA
  • NPI 1023505294
  NPD

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1326428152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-628-7111",
            "fax_number": "338-201-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 PA ROUTE 100",
            "address_2": "SUITE 220",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180629600",
            "telephone_number": "610-628-7111",
            "fax_number": "833-820-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHARAZI",
        "first_name": "FARIBA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-06",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur R Kaplan, OD
• Nicole Marie Kendrick, PT
• Denise A Kerr, COTA
• Keystone Rehabilitation Systems Inc
• Keystone Rehabilitation Systems, Inc.
• Alyssa Koffer
• Marc Stuart Kolpon, D.O.
• Alexandra Koluch
• Edward Anthony Kordeck, RP
• Stephanie Kotrositis

• Family Medicine Physician in Macungie, PA
• Providers in Macungie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.

Verify at the official NPI Registry.