Dominic Farrell, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

255 S Dobson Rd Ste 1
Chandler, AZ 85224-6231

Phone

(480) 722-2595

Fax

(480) 722-2599

NPI assigned

Jul 21, 2020

Sex

Male

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 AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Homan Hajbandeh MD PLLCGroup PAC ID 5991789463, 6 clinicians

George Roso, M.D., P.L.L.CGroup PAC ID 8224112313, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• George Roso, M.D., P.L.L.C

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1265619308
  Medicare reassignment Care Compare group
• Homan Hajbandeh, M.D., P.L.L.C

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1396899977
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1326656844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PORTCHESTER RD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242628",
            "telephone_number": "616-610-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S DOBSON RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246231",
            "telephone_number": "480-722-2595",
            "fax_number": "480-722-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "DOMINIC",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farr Eyecare Group, LLC
• Kayla Farr, MAS-MFT, LAMFT
• Robert Craig Farr, O.D.
• Scott Farr
• Aaliyah Renae Farrell
• Fasbil Care LLC (FirstLight Home Care of Southeast Valley)
• Gabrielle Lucille Faso
• Fast Care Transportation LLC
• Hajera Fatima, D.O
• Arlene Berit Faucon, NP

• Medical Physician Assistant in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.

Verify at the official NPI Registry.