Individual provider Active NPI

Farrah Aleema Rajab, MD.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1508482084
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME161317 Issued in FL
Practice address
20801 NW 2ND Ave
Miami, FL 33169-2103
Phone
(305) 653-1770
Fax
(786) 725-3453
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4351046594 MI
Family Medicine Physician 207Q00000X ME161317 FL Primary

Addresses

Primary practice location

20801 NW 2ND Ave
Miami, FL 33169-2103

Mailing address

20801 NW 2ND Ave
Miami, FL 33169-2103
Phone (305) 653-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230613000493 FL Practitioner - Family Practice 5294159323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chen Neighborhood Medical Centers of South Florida, LLCGroup PAC ID 2860623436, 37 clinicians

Practice addresses (Care Compare)

20801 NW 2ND Ave
Miami Gardens, FL 33169-2103
Phone (305) 653-1770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME161317FLMDFamily Medicine Physician

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1508482084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20801 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692103",
            "telephone_number": "305-653-1770",
            "fax_number": "786-725-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692103",
            "telephone_number": "305-653-1770",
            "fax_number": "786-725-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAB",
        "first_name": "FARRAH",
        "middle_name": "ALEEMA",
        "name_prefix": "Mrs.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351046594",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME161317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.