Individual provider Active NPI

Sohaib Abu-Farsakh

  • Anatomic Pathology & Clinical Pathology Physician
  • Springfield, OH
National Provider Identifier
1487072484
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35.138273 Issued in OH
Practice address
100 Medical Center Dr
Springfield, OH 45504-2687
Phone
(937) 523-5182
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35.138273 OH Primary

Addresses

Primary practice location

100 Medical Center Dr
Springfield, OH 45504-2687

Mailing address

PO Box 5127
Lima, OH 45802-5127
Phone (866) 942-0799

Other practice location 1

100 W Main St
Springfield, OH 45502-1312
Phone (937) 521-3900

Other identifiers 1

IdentifierTypeStateIssuer
0384006MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sabufarsak@direct.ovsurgical.com
Direct Messaging Address sabufarsakh677222@direct.mercy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200319000807 OH Practitioner - Pathology 2466706783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trillium Pathology, Inc.Group PAC ID 8628017720, 5 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-5500

Hospital & facility affiliations

  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.138273OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Medical Center, LLC Current Accepting new patients
Trillium Pathology, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2020 Accepting new patients

Locations

1840 Springfield Rd
Fairborn, OH 45324
Phone (937) 523-8780

100 W Main St
Springfield, OH 45502
Phone (937) 521-3900

148 W North St
Springfield, OH 45504
Phone (937) 323-5001

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

5700 Southwyck Blvd
Toledo, OH 43614

904 Scioto St
Urbana, OH 43078
Phone (937) 293-0136

Interoperability endpoints

  • Direct secure messaging: sabufarsak@direct.ovsurgical.com

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 4

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1487072484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458025127",
            "telephone_number": "866-942-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042687",
            "telephone_number": "937-523-5182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455021312",
            "country_code": "US",
            "telephone_number": "937-521-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABU-FARSAKH",
        "first_name": "SOHAIB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35.138273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0384006",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sabufarsak@direct.ovsurgical.com",
            "affiliation": "N",
            "endpointDescription": "Digital Endpoint Direct Address",
            "address_1": "100 W Main St",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455021312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sabufarsakh677222@direct.mercy.com",
            "affiliation": "N",
            "endpointDescription": "Digital Endpoint Direct Address",
            "address_1": "100 Medical Center Dr",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455042687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.