Farouk Anwarul Raquib, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.16185 Issued in AL

Practice address

125 Bob Lawrence Drive
Winfield, AL 35594

Phone

(205) 487-4535

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL2 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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Farouk a. Raquib, M.D., P.C.

  • Family Medicine Physician
  • Winfield, AL
  • NPI 1760531479

  O20100930011203

  Same enrollment

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Farouk a Raquib MD PCGroup PAC ID 4688864440, 5 clinicians

Med 360 Urgent Care Northport LLCGroup PAC ID 5193180297, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.43 of 100Reported as individual

Quality

45.84

Improvement activities

40

Cost

75.96

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01E0
• bcbs alabama network 01H0
• bcbs alabama network 01B0
• bcbs alabama network 01G0
• bcbs alabama network 01C0

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4

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.

• Farouk a. Raquib, M.D., P.C.

  • Family Medicine Physician
  • Winfield, AL
  • NPI 1760531479
  Medicare reassignment Care Compare group NPD Authorized official
• Med 360 Urgent Care Northport LLC

  • Family Medicine Physician
  • Northport, AL
  • NPI 1073238747
  Medicare reassignment Care Compare group NPD Authorized official
• Med 360 Urgent Care Winfield LLC

  • Urgent Care Clinic/Center
  • Winfield, AL
  • NPI 1467120535
  Authorized official Same address or phone
• Med 360 Urgent Care, LLC

  • Primary Care Clinic/Center
  • Jasper, AL
  • NPI 1871044677
  Authorized official Same address or phone
• Norwood Clinic Inc

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1104879741
  NPD (past)
• Singing River Healthcare, LLC

  • General Practice Physician
  • Florence, AL
  • NPI 1013330216
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1477511194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1140",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355941140",
            "telephone_number": "205-487-4535",
            "fax_number": "205-487-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BOB LAWRENCE DRIVE",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "35594",
            "telephone_number": "205-487-4535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "AL",
            "postal_code": "355945120",
            "country_code": "US",
            "telephone_number": "205-487-4525",
            "fax_number": "205-487-8827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAQUIB",
        "first_name": "FAROUK",
        "middle_name": "ANWARUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "16185",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.16185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051553562",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet McCaw Pribble, M.D.
• R. Brian Hollingsworth, DMD, LLC (Hollingsworth Family Dentistry)
• Radiology Associates of Alabama PC
• Raj Kumar Sehgal MD PC
• Mark Lee Randall, M.D.
• Dustan Gray Reeves, DPT
• Derron Maurice Robinson, PT, DPT
• Christy Romano, CRNP
• Matthew Blaine Salter, PT, DPT
• Jarred L Sartain, M.D.

• Family Medicine Physician in Winfield, AL
• Providers in Winfield, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.