Organization Active NPI

Behzad Farah MD SC

  • Primary Care Clinic/Center
  • Barrington, IL
National Provider Identifier
1619149820
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BEHZAD FARAH MD SC
Practice address
27790 W Highway 22
Suite 30
Barrington, IL 60010-2340
Phone
(847) 382-5350
Fax
(847) 382-5358
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Behzad Farah, M.D.NPI 1689630915
Title
President
Phone
(847) 382-5350

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
Primary Care Clinic/Center 261QP2300X IL Primary

Addresses

Primary practice location

27790 W Highway 22
Suite 30
Barrington, IL 60010-2340

Mailing address

27790 W Highway 22
Suite 30
Barrington, IL 60010-2340
Phone (847) 382-5350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080920000068 IL Part B Supplier - Clinic/Group Practice 1456428267 Receives reassigned benefits from 1 practitioner
Practice locations: Barrington, IL

National Provider Directory

National Provider Directory

Locations

27401 W Highway 22
Ste 108
Barrington, IL 60010
Phone (847) 382-5350

27790 W Highway 22
Ste 30
Barrington, IL 60010
Phone (847) 382-5350

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1619149820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27790 W HIGHWAY 22",
            "address_2": "SUITE 30",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102340",
            "telephone_number": "847-382-5350",
            "fax_number": "847-382-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27790 W HIGHWAY 22",
            "address_2": "SUITE 30",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102340",
            "telephone_number": "847-382-5350",
            "fax_number": "847-382-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHZAD FARAH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "BEHZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-382-5350",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.