Joseph Farah, MD
Individual provider Active NPI Internal Medicine Physician · Middletown, CT
NPI 1487784534 · NPPES record last updated Apr 26, 2017
Key facts
- NPI
- 1487784534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 48929 (CT)
- Practice address
- 28 Crescent St
Middletown, CT 06457-3654 - Phone
- (860) 358-6000
- Fax
- (860) 358-6654
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Middlesex Hospital
Practice addresses (Care Compare)
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-5322
Hospital & facility affiliations
- Middlesex Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100907000588 | CT | Practitioner - Internal Medicine |
2365430378 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004975 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Hospital | Internal Medicine | Current |
Accepting new patients |
| Middlesex Hospital | Current |
Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Connecticut Pathology Group PC | Current | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
Interoperability endpoints
- jfarah14689@middlesexhealthprd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 48929 | CT | Yes |
| Hospitalist Physician | 208M00000X | 48929 | CT |
Addresses
Primary practice location
28 Crescent St
Middletown, CT 06457-3654
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6000
Other providers in Middletown, CT
- Kara Fairchild
- Alyson Faires
- Robert Elton Fales Jr.
- Mae Joy E. Falk
- Marcy Marie Fanello Diaz
- Gail Farmer Peloquin
- Natasha Farooqi
- Michael P. Farrell
- Stephanie Farrell
- Scottmichael Farrey
All providers in Middletown, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.