Individual provider Active NPI

Mohammad Waseem Farra, MD

  • Pulmonary Disease Physician
  • Farmington Hills, MI
National Provider Identifier
1609871771
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301067318 Issued in MI
Practice address
29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817
Phone
(248) 350-2722
Fax
(248) 350-0154
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301067318 MI
Pulmonary Disease Physician 207RP1001X 4301067318 MI Primary

Addresses

Primary practice location

29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817

Mailing address

29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817
Phone (248) 350-2722

Other identifiers 2

IdentifierTypeStateIssuer
0F37521OtherMIBLUE CROSS BLUE SHIELD
4292155MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101108001299 MI Practitioner - Pulmonary Disease 6406932151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants in Sleep and Pulmonary Medicine PLLCGroup PAC ID 1658333125, 14 clinicians

Practice addresses (Care Compare)

16001 W Nine Mile Rd
Southfield, MI 48075-4803
Phone (248) 849-3000

26850 Providence Pkwy
Suite 501
Novi, MI 48374-1267
Phone (248) 662-4379

29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817
Phone (248) 350-2722

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Merit-based Incentive Payment System (MIPS)

Final score
20.2 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301067318MIMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Sleep & Pulmonary Medicine PLLC Critical Care Medicine CurrentSince May 1, 2000 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

29275 W 10 Mile Rd
Farmington Hills, MI 48336
Phone (248) 350-2722

26850 Providence Pkwy
Ste 501
Novi, MI 48374
Phone (248) 356-5033

16001 W 9 Mile Rd
Fl 4
Southfield, MI 48075
Phone (248) 424-2085

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

28200 Franklin Rd
Southfield, MI 48034
Phone (248) 350-2722

16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335

Interoperability endpoints

  • Direct secure messaging: mohammadfarra@cspm.allscriptsdirect.net
  • Direct secure messaging: mfarra1126569@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1609871771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29275 W 10 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362817",
            "telephone_number": "248-350-2722",
            "fax_number": "248-350-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29275 W 10 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362817",
            "telephone_number": "248-350-2722",
            "fax_number": "248-350-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRA",
        "first_name": "MOHAMMAD",
        "middle_name": "WASEEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301067318",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301067318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0F37521",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4292155",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.