Individual provider Active NPI

Imran Faruqi, M.D

  • Emergency Medicine Physician
  • Riverside, CA
National Provider Identifier
1497174767
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A148043 Issued in CA
Practice address
10800 Magnolia Ave
Riverside, CA 92505-3043
Phone
(951) 353-2000
NPI assigned
Apr 15, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X A148043 CA Primary

Addresses

Primary practice location

10800 Magnolia Ave
Riverside, CA 92505-3043

Mailing address

10800 Magnolia Aveune
Riverside, CA 92505
Phone (951) 353-2000

Other practice location 1

5246 Brittany Dr
RM 303
Baton Rouge, LA 70808-9136
Phone (225) 757-4140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210610002698 LA Practitioner - Emergency Medicine 3274834205 Reassigns benefits to 1 organization
I20230715000002 TX Practitioner - Emergency Medicine 3274834205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4500 E Sam Houston Pkwy S
CHI St Lukes Health Patients Medi
Pasadena, TX 77505-3959
Phone (713) 948-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A148043CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Professional Emergency Physician Associates, LLC Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients

Locations

Dept AT952639
Atlanta, GA 31192

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

5000 Odonavan Blvd
Walker, LA 70785
Phone (225) 214-4200

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

18057 Highway 105 W
Ste 220
Montgomery, TX 77356
Phone (936) 228-9489

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

22003 Southwest Fwy
Richmond, TX 77469
Phone (281) 341-2000

3515 Rayford Rd
Spring, TX 77386
Phone (832) 510-6576

1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101

17400 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-4055

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

10141 US 59 Hwy
Wharton, TX 77488
Phone (281) 491-6808

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497174767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 MAGNOLIA AVEUNE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92505",
            "telephone_number": "951-353-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053043",
            "telephone_number": "951-353-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5246 Brittany Dr",
            "address_2": "RM 303",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708089136",
            "country_code": "US",
            "telephone_number": "225-757-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARUQI",
        "first_name": "IMRAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A148043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.