Individual provider Active NPI

Rodolfo D Farhy, MD

  • Cardiovascular Disease Physician
  • Lathrup Village, MI
National Provider Identifier
1477542579
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301061075 Issued in MI
Practice address
18915 W 12 Mile Rd
Lathrup Village, MI 48076-2575
Phone
(248) 655-4490
Fax
(248) 655-4491
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301061075 MI Primary

Addresses

Primary practice location

18915 W 12 Mile Rd
Lathrup Village, MI 48076-2575

Mailing address

18915 W 12 Mile Rd
Lathrup Village, MI 48076-2575
Phone (248) 655-4490

Other identifiers 2

IdentifierTypeStateIssuer
4573601-01MedicaidMI
060631727OtherMIBCBSM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040213000256 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446144968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18915 W 12 Mile Rd
Lathrup Village, MI 48076-2575
Phone (248) 655-4490

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal232

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rodolfo D Farhy, MD, Facc, Faha, PLLC CurrentSince Nov 1, 2003 Accepting new patients
Downriver Cardiology Consultants DO PC Cardiovascular Disease Past Accepting new patients

Locations

18915 W 12 Mile Rd
Lathrup Village, MI 48076
Phone (248) 416-1100

30581 Stephenson Hwy
Madison Hts, MI 48071
Phone (248) 234-3101

30301 Woodward Ave
Ste LL160
Royal Oak, MI 48073
Phone (248) 655-4490

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1477542579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18915 W 12 MILE RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762575",
            "telephone_number": "248-655-4490",
            "fax_number": "248-655-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18915 W 12 MILE RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762575",
            "telephone_number": "248-655-4490",
            "fax_number": "248-655-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHY",
        "first_name": "RODOLFO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301061075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4573601-01",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "060631727",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

Verify at the official NPI Registry.