Organization Active NPI

Regional Arthritis and Rheumatology Associates LLC

  • Rheumatology Physician
  • Hermitage, PA
National Provider Identifier
1649303322
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD073078L Issued in PA
Legal business name
REGIONAL ARTHRITIS AND RHEUMATOLOGY ASSOCIATES LLC
Practice address
2500 Highland Rd Ste 101
Hermitage, PA 16148-4602
Phone
(724) 588-1082
Fax
(724) 426-7710
NPI assigned
Mar 13, 2007
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Farooq Hassan, MDNPI 1598739104
Title
President
Phone
(724) 588-1082

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
Rheumatology Physician 207RR0500X MD073078L PA Primary

Addresses

Primary practice location

2500 Highland Rd Ste 101
Hermitage, PA 16148-4602

Mailing address

2500 Highland Rd Ste 101
Hermitage, PA 16148-4602
Phone (724) 588-1082

Other practice location 1

8440 Market St
Boardman, OH 44512-6703
Phone (330) 531-6001

Other identifiers 1

IdentifierTypeStateIssuer
1018541380001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070502000224 PA Part B Supplier - Clinic/Group Practice 5698871044 Receives reassigned benefits from 2 practitioners
Practice locations: Hermitage, PA
O20150203001551 OH Part B Supplier - Clinic/Group Practice 5698871044 Receives reassigned benefits from 2 practitioners
Practice locations: Boardman, OH

National Provider Directory

National Provider Directory

Locations

2500 Highland Rd
Ste 101
Hermitage, PA 16148
Phone (724) 588-1082

Practitioners & affiliated clinicians

Practitioners 2

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1649303322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HIGHLAND RD STE 101",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484602",
            "telephone_number": "724-588-1082",
            "fax_number": "724-426-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HIGHLAND RD STE 101",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484602",
            "telephone_number": "724-588-1082",
            "fax_number": "724-426-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8440 Market St",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445126703",
            "country_code": "US",
            "telephone_number": "330-531-6001",
            "fax_number": "724-426-7710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGIONAL ARTHRITIS AND RHEUMATOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "FAROOQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-588-1082",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD073078L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018541380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.