Organization Active NPI

Mufti Saadat Ahmed Farooqi M.D. Inc

Doing business as Gastroenterology and Hepatology

  • Gastroenterology Physician
  • Fresno, CA
National Provider Identifier
1609953959
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A69294 Issued in CA
Legal business name
MUFTI SAADAT AHMED FAROOQI M.D. INC
Doing business as
Gastroenterology and Hepatology
Practice address
1332 W Herndon Ave
Suite Number 100
Fresno, CA 93711-7118
Phone
(559) 435-1979
Fax
(559) 434-9988
NPI assigned
Nov 1, 2006
Last updated
Sep 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Mr. Mufti Saadat Ahmed Farooqi, M.D.NPI 1275610503
Title
President
Phone
(559) 435-1979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A69294 CA Primary

Addresses

Primary practice location

1332 W Herndon Ave
Suite Number 100
Fresno, CA 93711-7118

Mailing address

513 E Mariners Cir
Fresno, CA 93720-0848
Phone (559) 434-0281

Other names 1

  • Gastroenterology and Hepatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061229000174 CA Part B Supplier - Clinic/Group Practice 7810997616 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1609953959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 E MARINERS CIR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200848",
            "telephone_number": "559-434-0281",
            "fax_number": "559-434-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W HERNDON AVE",
            "address_2": "SUITE NUMBER 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117118",
            "telephone_number": "559-435-1979",
            "fax_number": "559-434-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUFTI SAADAT AHMED FAROOQI M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "FAROOQI",
        "authorized_official_first_name": "MUFTI SAADAT",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-435-1979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A69294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastroenterology and Hepatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.