Farah Iftikhar, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301063833 Issued in MI

Practice address

15777 Northline Rd
Southgate, MI 48195-2385

Phone

(734) 324-7800

Fax

(734) 324-7801

NPI assigned

Jul 15, 2005

Last updated

Mar 30, 2011By the provider in NPPES

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

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MI, OH2 enrollments

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 2

Specialty

Family Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southgate Urgent Care PCGroup PAC ID 0143237172, 9 clinicians

Warren Urgent Care PCGroup PAC ID 5496799751, 7 clinicians

Prospect Urgent Care LLCGroup PAC ID 4587096227, 3 clinicians

Adrian Urgent Care PLLCGroup PAC ID 5193045425, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fiftikhar1132869@direct.hfhs.org

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.

• Adrian Urgent Care PLLC

  • Family Medicine Physician
  • Adrian, MI
  • NPI 1003204769
  Medicare reassignment Care Compare group NPD Authorized official
• Southgate Urgent Care PC

  • Family Medicine Physician
  • Southgate, MI
  • NPI 1902904436
  Medicare reassignment Care Compare group NPD Authorized official
• Warren Urgent Care PC

  • Family Medicine Physician
  • Warren, MI
  • NPI 1972503902
  Medicare reassignment Care Compare group NPD Authorized official
• Prospect Urgent Care LLC

  dba Prospect Urgent Care

  • Urgent Care Clinic/Center
  • Ashtabula, OH
  • NPI 1760951644
  Medicare reassignment Care Compare group NPD Authorized official
• Ucm Lab LLC

  • Clinical Medical Laboratory
  • Farmington Hills, MI
  • NPI 1578348744
  NPD Authorized official
• Warren Urgent Care PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1255513891
  NPD Authorized official
• Woodland Urgent Care LLC

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1841299435
  NPD Authorized official
• Adrian Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Adrian, MI
  • NPI 1144611633
  NPD (past) Authorized official
• Hartland Urgent Care PLLC

  • Legal Medicine
  • Hartland, MI
  • NPI 1457654675
  NPD (past) Authorized official
• Northeast Macomb Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Clinton TWP, MI
  • NPI 1487880555
  NPD (past) Authorized official
• Southgate Urgent Care PC

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1790967339
  NPD (past) Authorized official
• Michigan Urgent and Primary Care

  dba Livonia Urgent Care

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1477552149
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1376542035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15777 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952385",
            "telephone_number": "734-324-7800",
            "fax_number": "734-324-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15777 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952385",
            "telephone_number": "734-324-7800",
            "fax_number": "734-324-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFTIKHAR",
        "first_name": "FARAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301063833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113737",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4725187",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4995682",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4932914",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4603200",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4843690",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4899542",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00477490",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nicole Hurme, LMSW
• Mashkur Husain, MD
• Ronald A Hyder, CHIROPRACTOR
• Hyperwell Oxygen Centers LLC
• Nancy Idol
• Erica Anne Ihm
• Innovative Training Solutions
• Internal Medicine Assoc of Mi PC
• Interventional Pain Specialists of Michigan PLLC
• Ismail B. Sendi, MD PC (New Oakland Child-Adolescent and Family Center)

• Family Medicine Physician in Southgate, MI
• Providers in Southgate, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.