Individual provider Active NPI

Farid F Shafik, MD

  • Ophthalmology Physician
  • Southington, CT
National Provider Identifier
1598778896
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036594 Issued in CT
Practice address
318 North Main St
Unit 2
Southington, CT 06489-2555
Phone
(860) 621-4412
Fax
(860) 609-6005
NPI assigned
Aug 15, 2006
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036594 CT Primary

Addresses

Primary practice location

318 North Main St
Unit 2
Southington, CT 06489-2555

Mailing address

318 North Main St
Unit 2
Southington, CT 06489-2555
Phone (860) 621-4412

Other practice location 1

318 North Main Street
Unit 2
Southington, CT 06489
Phone (860) 621-4412

Other identifiers 1

IdentifierTypeStateIssuer
001365940MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20101019001013 NY Practitioner - Ophthalmology 5890726590 Reassigns benefits to 2 organizations
I20110228000730 CT Practitioner - Ophthalmology 5890726590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

318 N Main St
Suite 2
Southington, CT 06489-2555
Phone (860) 621-4412

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Dec 7, 2024 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 1, 2011 Accepting new patients
Southington Eye Associates, P.C. Ophthalmology CurrentSince Dec 23, 1998 Accepting new patients

Locations

318 N Main St
Ste 2
Southington, CT 06489
Phone (860) 620-7748

55 Meriden Ave
Ste 2D
Southington, CT 06489
Phone (860) 621-4412

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

1901 1st Ave
Rm 1103
New York, NY 10029
Phone (212) 360-6810

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: fshafik839599@nychhc.direct-ci.com

Organizations & group practices 3

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 3

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1598778896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 NORTH MAIN ST",
            "address_2": "UNIT 2",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892555",
            "telephone_number": "860-621-4412",
            "fax_number": "860-609-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 NORTH MAIN ST",
            "address_2": "UNIT 2",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892555",
            "telephone_number": "860-621-4412",
            "fax_number": "860-609-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 North Main Street",
            "address_2": "Unit 2",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "06489",
            "country_code": "US",
            "telephone_number": "860-621-4412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFIK",
        "first_name": "FARID",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "036594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001365940",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.