Individual provider Active NPI

Ridwan Naim Faruq, MD

  • Infectious Disease Physician
  • Mansfield, TX
National Provider Identifier
1639708431
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
V6013 Issued in TX
Practice address
350 Matlock Rd Ste 201
Mansfield, TX 76063-6889
Phone
(817) 539-9091
Fax
(817) 539-9553
NPI assigned
Apr 3, 2020
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X V6013 TX
Infectious Disease Physician 207RI0200X V6013 TX Primary

Addresses

Primary practice location

350 Matlock Rd Ste 201
Mansfield, TX 76063-6889

Mailing address

350 Matlock Rd Ste 201
Mansfield, TX 76063-6889
Phone (817) 539-9091

Other practice location 1

515 W Mayfield Rd Ste 404
Arlington, TX 76014-2085
Phone (817) 539-9091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250312003008 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 0547685208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Id Partners PAGroup PAC ID 0042593121, 7 clinicians

Practice addresses (Care Compare)

515 W Mayfield Rd
Arlington, TX 76014-2085
Phone (817) 539-9091

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Id Partners PA Internal Medicine CurrentSince Mar 12, 2025 Accepting new patients

Locations

515 W Mayfield Rd
Ste 404
Arlington, TX 76014
Phone (817) 375-5847

515 W Mayfield Rd
Ste 4040
Arlington, TX 76014

350 Matlock Rd
Ste 201
Mansfield, TX 76063
Phone (817) 539-9091

Interoperability endpoints

  • Direct secure messaging: rfaruq326548@direct.phhs.org

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 4

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1639708431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MATLOCK RD STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636889",
            "telephone_number": "817-539-9091",
            "fax_number": "817-539-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MATLOCK RD STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636889",
            "telephone_number": "817-539-9091",
            "fax_number": "817-539-9553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 W Mayfield Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142085",
            "country_code": "US",
            "telephone_number": "817-539-9091",
            "fax_number": "817-539-9553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARUQ",
        "first_name": "RIDWAN",
        "middle_name": "NAIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V6013",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "V6013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.