NPIMap

Individual provider Active NPI

Farrukh Siere Pasha, MD

  • Rheumatology Physician
  • Glendale, WI
National Provider Identifier
1639399363
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
54391-20 Issued in WI
Practice address
7080 N Port Washington Rd
Rheumatic Disease Center
Glendale, WI 53217-3879
Phone
(414) 351-4009
Fax
(414) 351-7060
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36116572 IL
Rheumatology Physician 207RR0500X 54391-20 WI Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 20276 MS

Addresses

Primary practice location

7080 N Port Washington Rd
Rheumatic Disease Center
Glendale, WI 53217-3879

Mailing address

7080 N Port Washington Rd
Rheumatic Disease Center
Glendale, WI 53217-3879
Phone (414) 351-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000114 WI Practitioner - Rheumatology 2961533989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatic Disease CenterGroup PAC ID 0840210852, 8 clinicians

Practice addresses (Care Compare)

7080 N Port Washington Rd
Glendale, WI 53217-3879
Phone (414) 351-4009

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.24 of 100Reported as individual
Quality
90
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36116572ILMDInternal Medicine Physician
20276MSMDAdolescent Medicine (Internal Medicine) Physician
54391-20WIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatic Disease Center Rheumatology CurrentSince Sep 1, 2011 Accepting new patients

Locations

7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940

2500 W Layton Ave
Ste 250
Milwaukee, WI 53221
Phone (414) 269-9373

2500 W Layton Ave
Ste 280
Milwaukee, WI 53221
Phone (414) 306-6500

Interoperability endpoints

  • Direct secure messaging: farrukh.pasha@rdc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GADIAA

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1639399363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 N PORT WASHINGTON RD",
            "address_2": "RHEUMATIC DISEASE CENTER",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173879",
            "telephone_number": "414-351-4009",
            "fax_number": "414-351-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 N PORT WASHINGTON RD",
            "address_2": "RHEUMATIC DISEASE CENTER",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173879",
            "telephone_number": "414-351-4009",
            "fax_number": "414-351-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASHA",
        "first_name": "FARRUKH",
        "middle_name": "SIERE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36116572",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "54391-20",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "MS",
            "license": "20276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.