Individual provider Active NPI

Ali A Farooqui, MD

  • Psychiatry Physician
  • Louisville, KY
National Provider Identifier
1598076705
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
51657 Issued in KY
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

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2010020458MOMDNeurological Surgery Physician
51657KYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Center for Advanced Neuromodulation Psychiatry CurrentSince May 11, 2025 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.

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.

Verify at the official NPI Registry.