NPIMap

Individual provider Active NPI

Amjad Farooq, M.D

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1366447377
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-08-2519-F Issued in OH
Practice address
3900 Sunforest CT Ste 240
Toledo, OH 43623-4481
Phone
(419) 472-3126
Fax
(473) 472-3437
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-08-2519-F OH Primary

Addresses

Primary practice location

3900 Sunforest CT Ste 240
Toledo, OH 43623-4481

Mailing address

3900 Sunforest CT Ste 240
Toledo, OH 43623-4481
Phone (419) 472-3126

Other practice location 1

960 W Wooster St
Ste 202
Bowling Green, OH 43402-2650
Phone (419) 353-3454

Other identifiers 1

IdentifierTypeStateIssuer
2438302MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031104000144 OH Practitioner - Family Practice 5799697132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians

Practice addresses (Care Compare)

2222 Cherry St
Suite 2300
Toledo, OH 43608-2675
Phone (419) 251-8983

Hospital & facility affiliations

  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Ohio Living Home Health Greater Toledo Home health agency, Toledo, OH, CCN 367530
  • Elara Caring Home health agency, Toledo, OH, CCN 367730
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians-North LLC Family Medicine CurrentSince Sep 15, 2013 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Sep 15, 2013 Accepting new patients
Northwest Ohio Urgent Care Inc Past Accepting new patients
Hospitalist Medicine Physicians of Sylvania LTD Past Accepting new patients
Wood County Family Care Inc. Family Medicine PastSince Jul 1, 2003 Accepting new patients
Hospitalist Medicine Physicians of Franklin County, LTD Past Accepting new patients
Hospitalist Medicine Physicians of Summit County, LTD. Past Accepting new patients
Maumee Urgent Medical Care Center Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
Riverwood Emergency Services Inc. Past Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Family Medicine Past Accepting new patients
Mercy Health System Northern Past Accepting new patients
Incare LLC Past Accepting new patients

Locations

3425 Executive Pkwy
Ste 100
Toledo, OH 43606
Phone (419) 472-1124

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Interoperability endpoints

  • Direct secure messaging: afarooq85758@direct.bsmhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1366447377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT STE 240",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234481",
            "telephone_number": "419-472-3126",
            "fax_number": "419-472-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT STE 240",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234481",
            "telephone_number": "419-472-3126",
            "fax_number": "473-472-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 W Wooster St",
            "address_2": "Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434022650",
            "country_code": "US",
            "telephone_number": "419-353-3454",
            "fax_number": "419-353-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "AMJAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-08-2519-F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2438302",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.