Active NPI
Rodolfo D Farhy, MD
- Cardiovascular Disease Physician
- Lathrup Village, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301061075
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4573601-01 | Medicaid | MI | |
| 060631727 | Other | MI | BCBSM |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040213000256 | MI | Practitioner - Cardiovascular Disease (Cardiology) | 0446144968 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
- Beaumont Hospital, Troy
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 232 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodolfo D Farhy, MD, Facc, Faha, PLLC | Current | 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.
-
- Cardiovascular Disease Physician
- Trenton, MI
- NPI 1548338643
Cardiovascular Disease
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.