Munster Primary Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01063801A Issued in IN

Legal business name

MUNSTER PRIMARY CARE PC

Practice address

9731 Prairie Ave
Highland, IN 46322-3616

Phone

(219) 301-5212

Fax

(708) 221-6766

NPI assigned

Sep 10, 2015

Organization subpart

No

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

Authorized official

Name

Asif H Farooqui, MDNPI 1902865421

Title

President

Phone

(901) 619-5629

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asif Hussain Farooqui, M.D.

  • Internal Medicine Physician
  • Highland, IN
  • NPI 1902865421
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451174400000",
    "number": "1659749489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5580",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601815305",
            "telephone_number": "708-478-7201",
            "fax_number": "708-221-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9731 PRAIRIE AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223616",
            "telephone_number": "219-301-5212",
            "fax_number": "708-221-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSTER PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-12-27",
        "status": "A",
        "authorized_official_last_name": "FAROOQUI",
        "authorized_official_first_name": "ASIF",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-619-5629",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01063801A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01063801A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moore Home Health Care, Inc.
• Breana Moore
• Alyssa M Morales
• Regina Marie Mulligan, R.D, C.D
• Munster Chiropractic, Incorporated
• Mariah Ann Murphy, M.S.
• Daniel Patrick Murray Jr., DPT, PT
• Melissa Renee Murry
• Kaitlyn Murthy, M.S., CCC-SLP
• Christina Carlotta Natelborg, NP-C

• Internal Medicine Physician in Highland, IN
• Providers in Highland, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2015; 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.