Active NPI
Umer Farooq, MD
- Addiction Psychiatry Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 4301104367
- Practice address
- 300 68TH St SE
Grand Rapids, MI 49548-6927 - Phone
- (616) 455-5000
- NPI assigned
- Aug 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 270437 | NY | |
| Addiction Psychiatry Physician | 2084P0802X | 4301104367 | MI | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 01081852A | IN |
Addresses
Primary practice location
300 68TH St SE
Grand Rapids, MI 49548-6927
Mailing address
300 68TH St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000
Other practice location 1
790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone (616) 336-3909
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ufarooq13711@edirect.crh.org | ||
| Direct Messaging Address | pcerecords.network180.x@direct.mihin.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 Patriots Rd
Stony Brook, NY 11790-3318
Phone (631) 444-8630
790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone (616) 825-5412
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.46 of 100
- Quality
- 73.89
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 75.72
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.18 of 100
- Quality
- 75.22
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 90.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270437 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau Health Care Corporation | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Kent County CMH Authority | Current | Accepting new patients | |
| Aldad Medical PC | Current | Accepting new patients | |
| Kent County CMH Authority | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Jamaica Psychiatric Services, PC | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients |
Locations
260 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 459-1267
790 Fuller Ave NE
Grand Rapids, MI 49503
Phone (616) 336-3765
2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889
27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100
300 Community Dr
Plandome, NY 11030
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
100 Patriots Rd
Stony Brook, NY 11790
Phone (631) 444-8500
510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051
Interoperability endpoints
- ufarooq104861@direct.medisys.org
Organizations & group practices 9
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.
-
dba Network 180
- Community/Behavioral Health Agency
- Grand Rapids, MI
- NPI 1588935068
-
dba Helen Hayes Hospital
- Rehabilitation Hospital Unit
- West Haverstraw, NY
- NPI 1235142472
-
- Psychiatric Hospital Unit
- Jamaica, NY
- NPI 1427005065
-
dba Nassau Department of Psychiatry and Psychology, FPP
- General Acute Care Hospital
- East Meadow, NY
- NPI 1902822992
-
dba Network 180
- Community/Behavioral Health Agency
- Grand Rapids, MI
- NPI 1194617811
-
dba NUMC Department of Family Medicine, FPP
- General Acute Care Hospital
- East Meadow, NY
- NPI 1730530940
-
dba Long Island State Veterans Home
- Skilled Nursing Facility
- Stony Brook, NY
- NPI 1184621724
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1487885513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 68TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495486927",
"telephone_number": "616-455-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 68TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495486927",
"telephone_number": "616-455-5000"
}
],
"practiceLocations": [
{
"address_1": "790 Fuller Ave NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495031918",
"country_code": "US",
"telephone_number": "616-336-3909",
"fax_number": "616-336-8830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAROOQ",
"first_name": "UMER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2024-09-06",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "NY",
"license": "270437",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "MI",
"license": "4301104367",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "IN",
"license": "01081852A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ufarooq13711@edirect.crh.org",
"affiliation": "N",
"address_1": "2400 17th St",
"city": "Columbus",
"state": "IN",
"country_code": "US",
"postal_code": "472015351",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcerecords.network180.x@direct.mihin.net",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "790 Fuller Ave NE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495031918",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.