Active NPI
Farid M Moosavy, MD
- Pulmonary Disease Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- C10007769
- Practice address
- 4745 Ogletown Stanton Rd
Suite 220
Newark, DE 19713-2067 - Phone
- (302) 623-7600
- Fax
- (302) 366-1240
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | C10007769 | DE | Primary |
Addresses
Primary practice location
4745 Ogletown Stanton Rd
Suite 220
Newark, DE 19713-2067
Mailing address
4745 Ogletown Stanton Rd
Suite 220
Newark, DE 19713-2067
Phone (302) 623-7600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108627 | Other | AETNA/USHC | |
| 2690976000 | Other | AMERIHEALTH/KEYSTONE | |
| 411415 | Other | COVENTRY | |
| 9855585 | Other | CIGNA | |
| 1000038313 | Medicaid | DE | |
| 2690976000 | Other | INDEPENDENCE BCBS | |
| 64767501 | Other | MD | CAREFIRST BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christiana Care Health Services Inc
Practice addresses (Care Compare)
106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000
4745 Ogletown Stanton Rd
Newark, DE 19713-2074
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
501 W 14TH St
Wilmington, DE 19801-1013
501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300
501 W 14TH St Wilmington Hospital
Wilmington, DE 19801-1013
Hospital & facility affiliations
- Christiana Hospital
- Union Hospital of Cecil County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10007769 | DE | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Pulmonary Disease | Current | Accepting new patients |
| Christiana Care Health Services, Inc. | Past | Accepting new patients | |
| Pulmonary Associates P.a. | Pulmonary Disease | Past | Accepting new patients |
Locations
4745 Stanton Ogletwn Rd
Newark, DE 19713
Phone (302) 623-7600
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
4745 Stanton Ogletwn Rd
Ste 220
Newark, DE 19713
Phone (302) 368-5515
210 Chesapeake Blvd
Elkton, MD 21921
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1124067848
-
- Pulmonary Disease Physician
- Newark, DE
- NPI 1255618070
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Hospitalist Physician
- Newark, DE
- NPI 1245474329
-
- Anatomic Pathology Physician
- Newark, DE
- NPI 1245674993
-
- Neurology Physician
- Newark, DE
- NPI 1104896596
-
- Audiologist
- Elkton, MD
- NPI 1851681647
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- Pulmonary Disease Physician
- Wilmington, DE
- NPI 1750336541
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Elkton, MD
- NPI 1376523357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1376594150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD",
"address_2": "SUITE 220",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132067",
"telephone_number": "302-623-7600",
"fax_number": "302-366-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD",
"address_2": "SUITE 220",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132067",
"telephone_number": "302-623-7600",
"fax_number": "302-366-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOSAVY",
"first_name": "FARID",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "DE",
"license": "C10007769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC",
"identifier": "1108627",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/KEYSTONE",
"identifier": "2690976000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "411415",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9855585",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000038313",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BCBS",
"identifier": "2690976000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "64767501",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.