Individual provider Active NPI

Freshteh Farahan, M.D.

  • Pediatrics Physician
  • Anderson, IN
National Provider Identifier
1609918119
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01068742A Issued in IN
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191101000588 IN Practitioner - Pediatric Medicine 6608914809 Reassigns benefits to 2 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Pediatrics CurrentSince Nov 18, 2019 Accepting new patients
Jane Pauley Community Health Center Inc CurrentSince Aug 6, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Nov 18, 2019 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

  • Direct secure messaging: ffarahan354458@ecommunitydirect.com
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.