Individual provider Active NPI

Junaid Haris Farooq, MD

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1396240412
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
329240-01 Issued in NY
Practice address
Robert C. Bird Clinical Training Center, 4TH Floor,
3200 Maccorkle Ave.
Charleston, WV 25304
Phone
(304) 388-5590
Fax
(304) 388-8238
NPI assigned
Mar 29, 2018
Reactivated
Nov 15, 2018
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 329240-01 NY Primary

Addresses

Primary practice location

Robert C. Bird Clinical Training Center, 4TH Floor,
3200 Maccorkle Ave.
Charleston, WV 25304

Mailing address

Robert C. Bird Clinical Training Center, 4TH Floor,
3200 Maccorkle Ave.
Charleston, WV 25304
Phone (304) 388-5590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 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

Enrollment IDStateProvider typePAC IDDetails
I20240716001800 NY Practitioner - Internal Medicine 7416208061 Reassigns benefits to 2 organizations
I20250730002596 MA Practitioner - Internal Medicine 7416208061 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview HospitalGroup PAC ID 1254240773, 56 clinicians
North Adams Regional Hospital CorporationGroup PAC ID 2961846886, shared by 3 NPIs, 16 clinicians
Berkshire Medical Center IncGroup PAC ID 1355232711, 195 clinicians

Practice addresses (Care Compare)

29 Lewis Ave
Great Barrington, MA 01230-1713
Phone (413) 528-8615

71 Hospital Ave
North Adams, MA 01247-2504
Phone (413) 664-5000

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.33 of 100Reported as group
Improvement activities
40
Cost
77.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
329240-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center, Inc CurrentSince May 3, 2025 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Aug 4, 2025 Accepting new patients
Upstate Ny Doctor of Medicine PLLC CurrentSince Sep 1, 2024 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Jun 13, 2025 Accepting new patients
Fairview Hospital CurrentSince Aug 4, 2025 Accepting new patients
Wajeeh Sana Physician PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Berkshire Medical Center Inc. CurrentSince May 3, 2025 Accepting new patients
Fairview Hospital CurrentSince Aug 4, 2025 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1396240412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROBERT C. BIRD CLINICAL TRAINING CENTER, 4TH FLOOR,",
            "address_2": "3200 MACCORKLE AVE.",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-388-5590",
            "fax_number": "304-388-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROBERT C. BIRD CLINICAL TRAINING CENTER, 4TH FLOOR,",
            "address_2": "3200 MACCORKLE AVE.",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-388-5590",
            "fax_number": "304-388-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "JUNAID",
        "middle_name": "HARIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "deactivation_date": "2018-10-30",
        "reactivation_date": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "329240-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.