Active NPI
Ali A Farooqui, MD
- Psychiatry Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 51657
- Practice address
- 8003 Lyndon Centre Way Ste 202
Louisville, KY 40222-3604 - Phone
- (502) 327-7701
- Fax
- (502) 327-7705
- NPI assigned
- Jun 23, 2010
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 2010020458 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 51657 | KY | |
| Psychiatry Physician | 2084P0800X | 51657 | KY | Primary |
Addresses
Primary practice location
8003 Lyndon Centre Way Ste 202
Louisville, KY 40222-3604
Mailing address
8003 Lyndon Centre Way Ste 202
Louisville, KY 40222-3604
Phone (502) 327-7701
Other practice location 1
401 E Chestnut St Unit 600
Louisville, KY 40202-5705
Phone (502) 588-4865
Other practice location 2
1 Hospital Dr
MC306 McHaney Hall
Columbia, MO 65201-5276
Phone (573) 882-3957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010020458 | MO | MD | Neurological Surgery Physician |
| 51657 | KY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Center for Advanced Neuromodulation | Psychiatry | Current | Accepting new patients |
Locations
8003 Lyndon Centre Way
Ste 202
Louisville, KY 40222
Phone (502) 327-7701
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.
-
- Psychiatry Physician
- Louisville, KY
- NPI 1306635297
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1598076705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8003 LYNDON CENTRE WAY STE 202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402223604",
"telephone_number": "502-327-7701",
"fax_number": "502-327-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8003 LYNDON CENTRE WAY STE 202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402223604",
"telephone_number": "502-327-7701",
"fax_number": "502-327-7705"
}
],
"practiceLocations": [
{
"address_1": "401 E Chestnut St Unit 600",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402025705",
"country_code": "US",
"telephone_number": "502-588-4865",
"fax_number": "502-588-4427",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hospital Dr",
"address_2": "MC306 McHaney Hall",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652015276",
"country_code": "US",
"telephone_number": "573-882-3957",
"fax_number": "573-884-5184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAROOQUI",
"first_name": "ALI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-23",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MO",
"license": "2010020458",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": "51657",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "51657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.