Active NPI
Freshteh Farahan, M.D.
- Pediatrics Physician
- Anderson, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01068742A
- Practice address
- 1629 Medical Arts Blvd Ste 200
Anderson, IN 46011 - Phone
- (765) 298-5439
- Fax
- (765) 298-4920
- NPI assigned
- Feb 12, 2007
- Last updated
- Sep 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01068742A | IN | Primary |
Addresses
Primary practice location
1629 Medical Arts Blvd Ste 200
Anderson, IN 46011
Mailing address
10845 Griffith Peak Dr # 2
Las Vegas, NV 89135-1553
Phone (818) 572-0889
Other practice location 1
8414 Naab Rd
Indianapolis, IN 46260-1972
Phone (317) 338-7532
Other practice location 2
8414 Naab Rd
Indianapolis, IN 46260-1972
Phone (317) 338-7532
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ffarahan354458@eCommunityDirect.com | Community Physicians of Indiana Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Pediatrics | Current | Accepting new patients |
| Jane Pauley Community Health Center Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
1210 Medical Arts Blvd
Ste 300
Anderson, IN 46011
Phone (765) 298-4550
1229 Lincoln St
Anderson, IN 46016
Phone (765) 253-5222
1629 Medical Arts Blvd
Anderson, IN 46011
Phone (317) 934-0755
1629 Medical Arts Blvd
#200
Anderson, IN 46011
Phone (765) 298-5439
1503 N Mitthoefer Rd
Indianapolis, IN 46229
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
8931 E 30th St
Indianapolis, IN 46219
Phone (317) 355-9320
Interoperability endpoints
- ffarahan354458@ecommunitydirect.com
- ffarahan717347@direct.ochin.org
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
Pediatrics
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1730488818
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1609918119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10845 GRIFFITH PEAK DR # 2",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891351553",
"telephone_number": "818-572-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 MEDICAL ARTS BLVD STE 200",
"city": "ANDERSON",
"state": "IN",
"postal_code": "46011",
"telephone_number": "765-298-5439",
"fax_number": "765-298-4920"
}
],
"practiceLocations": [
{
"address_1": "8414 Naab Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601972",
"country_code": "US",
"telephone_number": "317-338-7532",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8414 Naab Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601972",
"country_code": "US",
"telephone_number": "317-338-7532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARAHAN",
"first_name": "FRESHTEH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01068742A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ffarahan354458@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "1629 Medical Arts Blvd Ste 200",
"city": "Anderson",
"state": "IN",
"country_code": "US",
"postal_code": "46011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anderson, IN
- F. Lynn Meshberger M.D. Inc.
- F.R.O.G. Recovery Inc. (Finding Recovery Options for Growth)
- Faith Alexandra Fairholm, RBT
- Family Chiropractic Group, Inc., P.C.
- Family Physicians of Anderson, PC, Inc
- Abbi Brook Farmer, RBT
- Justin Matthew Farmer
- Alexandria Farrar, RD
- Shy'Anne Faulkner
- Mary E Feekart, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.