Farid T Fata, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

FF072629 Issued in MI

Practice address

1901 Star Batt Dr
Suite 200
Rochester Hills, MI 48309-3712

Phone

(248) 844-5690

Fax

(248) 844-5691

NPI assigned

Aug 25, 2006

Last updated

Jun 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Michigan Hematology Oncology PC

  • Hematology & Oncology Physician
  • Rochester Hills, MI
  • NPI 1801942453
  Authorized official Same address or phone
• Michigan Radiation Network

  • Radiation Oncology Physician
  • Rochester Hills, MI
  • NPI 1326392663
  Authorized official Same address or phone
• United Diagnostics PLLC

  • Diagnostic Radiology Physician
  • Rochester Hills, MI
  • NPI 1003160755
  NPD (past) Authorized official
• Michigan Radiation Institute LLC

  • Radiation Oncology Physician
  • Pontiac, MI
  • NPI 1114263563
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1417065186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 STAR BATT DR",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093712",
            "telephone_number": "248-844-5690",
            "fax_number": "248-844-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 STAR BATT DR",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093712",
            "telephone_number": "248-844-5690",
            "fax_number": "248-844-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATA",
        "first_name": "FARID",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "FF072629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0634811",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301072629",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED DRUG LICENSE",
            "identifier": "5315009042",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaelene Farrell-Schirmer
• Christina Burns Farrell, MS, CCC-SLP
• Michelle Mary Farrington, OTR
• Seina Farshadsefat, D.O.
• Jessica Fasse
• Meghan Ceverena Faught
• FD Farah Mi PLLC
• Jessica Fealk
• Brooke Fecteau, MA, LLC, CTP
• Florante Fermil, M.D.

• Hematology & Oncology Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.