Faraz Ahmed Tyeb, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS017653 Issued in PA

Practice address

169 Martin Ave
Ephrata, PA 17522-1724

Phone

(717) 733-0311

Fax

(717) 738-6735

NPI assigned

Aug 10, 2011

Last updated

Mar 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Psychiatry

Education

Philadelphia College of Osteopathic Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Momentum Services, LLCGroup PAC ID 2961502547, 2 clinicians

Truenorth Wellness ServicesGroup PAC ID 6709869456, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Hanover Hospital, Hanover, PA, CCN 390233

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/diakon/r4/

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.

• Momentum Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chambersburg, PA
  • NPI 1831250364
  Medicare reassignment Care Compare group NPD
• Truenorth Wellness Services

  • Community/Behavioral Health Agency
  • Hanover, PA
  • NPI 1912013509
  Medicare reassignment Care Compare group NPD
• Diakon Child, Family & Community Ministries

  • Community/Behavioral Health Agency
  • Williamsport, PA
  • NPI 1861802035
  Medicare reassignment NPD
• Merakey Pennsylvania

  • Community/Behavioral Health Agency
  • Mount Pocono, PA
  • NPI 1780830034
  Medicare reassignment NPD
• NHS Stevens Center

  • Community/Behavioral Health Agency
  • Carlisle, PA
  • NPI 1740404359
  Medicare reassignment NPD
• Diakon Child Family and Community Ministries

  • Community/Behavioral Health Agency
  • Mechanicsburg, PA
  • NPI 1669882700
  NPD
• Diakon Child, Family and Community Ministries

  dba Diakon Family Life Service

  • Community/Behavioral Health Agency
  • Montoursville, PA
  • NPI 1467821207
  NPD
• Merakey Pennsylvania

  • Community/Behavioral Health Agency
  • Huntingdon, PA
  • NPI 1740304138
  NPD
• NHS Stevens Center

  • Community/Behavioral Health Agency
  • York, PA
  • NPI 1215151170
  NPD
• Truenorth Wellness Services

  • Community/Behavioral Health Agency
  • Hanover, PA
  • NPI 1356534945
  NPD
• Truenorth Wellness Services

  • Community/Behavioral Health Agency
  • Hanover, PA
  • NPI 1447443049
  NPD
• Merakey Pennsylvania

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1467252536
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Hanover

  • Clinic/Center
  • Hanover, PA
  • NPI 1700084944

  Hospital

  Care Compare affiliation
• Upmc Hanover

  • General Acute Care Hospital
  • Hanover, PA
  • NPI 1730158981
  Care Compare affiliation

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1639458417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221724",
            "telephone_number": "717-733-0311",
            "fax_number": "717-738-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYEB",
        "first_name": "FARAZ",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS017653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103023834",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Trettin
• Alan E Trobman, LPC
• Kelly J Trynosky, CRNP
• Twin Medical Company
• Twin Medical Group
• Michael Robert Ujwary, RPH
• Rhonda Ulrich, M.S.
• Union Community Care
• United Church of Christ Homes (Ephrata Manor)
• Celia Vallie, DPT

• Psychiatry Physician in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.