Active NPI
Shahana Farrukh, MD
- Internal Medicine Physician
- Caro, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301069107
- Practice address
- 1070 E Caro Rd
Caro, MI 48723 - Phone
- (989) 672-2500
- NPI assigned
- May 23, 2006
- Last updated
- Mar 30, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301069107 | MI | Primary |
Addresses
Primary practice location
1070 E Caro Rd
Caro, MI 48723
Mailing address
1070 E Caro Rd
Caro, MI 48723-1236
Phone (989) 672-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4803990 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sfarrukh1248@covenanthealthcare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1070 Caro Rd
Caro, MI 48723-1217
Phone (989) 672-2500
1070 E Caro Rd
Caro, MI 48723-1217
1070 E Caro Rd
Caro, MI 48723-1236
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301069107 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Care PLC | Current | Accepting new patients | |
| Mid Michigan Medicine PC | Internal Medicine | Current | Accepting new patients |
| Northview Medical House Calls PLC | Past | Accepting new patients |
Locations
1070 E Caro Rd
Caro, MI 48723
Phone (989) 672-0341
1184 Cleaver Rd
Ste 1200
Caro, MI 48723
Phone (989) 672-0930
3061 Christy Way
Saginaw, MI 48603
Phone (630) 788-1425
3785 Bay Rd
Saginaw, MI 48603
Interoperability endpoints
- sfarrukh1248@direct.covenanthealthcare.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Caro, MI
- NPI 1447205307
-
- Rheumatology Physician
- Caro, MI
- NPI 1164954392
-
dba Careline Physician Services
- Family Medicine Physician
- Saginaw, MI
- NPI 1336447002
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Cass City, MI
- NPI 1154367001
-
dba Aspire Hill Street Clinic
- Psychiatry Physician
- Cass City, MI
- NPI 1952120859
Hospital
-
- Critical Access Hospital
- Caro, MI
- NPI 1073568978
-
dba Scheurer Orthopedics
- Orthopaedic Surgery Physician
- Bad Axe, MI
- NPI 1023836947
Hospital
-
dba Scheurer Pain Management
- Interventional Pain Medicine Physician
- Pigeon, MI
- NPI 1336921659
Hospital
-
dba Scheurer General Surgery - Pigeon
- Surgery Physician
- Pigeon, MI
- NPI 1366574113
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1396790275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 E CARO RD",
"city": "CARO",
"state": "MI",
"postal_code": "487231236",
"telephone_number": "989-672-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 E CARO RD",
"city": "CARO",
"state": "MI",
"postal_code": "48723",
"telephone_number": "989-672-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRUKH",
"first_name": "SHAHANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301069107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4803990",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sfarrukh1248@covenanthealthcare.com",
"affiliation": "N",
"address_1": "1070 E Caro Rd",
"city": "Caro",
"state": "MI",
"country_code": "US",
"postal_code": "48723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Caro, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.