NPIMap

Individual provider Active NPI

Adnan Muhammad Ibna Faruqui, MD

  • Nephrology Physician
  • Shreveport, LA
National Provider Identifier
1700345667
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
348374 Issued in LA
Practice address
2501 Greenwood Rd
Shreveport, LA 71103-3905
Phone
(318) 631-1584
Fax
(318) 635-8322
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 348374 LA Primary

Addresses

Primary practice location

2501 Greenwood Rd
Shreveport, LA 71103-3905

Mailing address

1800 Buckner St Ste C120
Shreveport, LA 71101-4453
Phone (318) 213-2761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240819002231 NY Practitioner - Nephrology 8325426125 Reassigns benefits to 1 organization
I20250923004678 LA Practitioner - Nephrology 8325426125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Louisiana Nephrology, LLCGroup PAC ID 7911996509, 24 clinicians

Practice addresses (Care Compare)

2501 Greenwood Rd
Shreveport, LA 71103-3905
Phone (318) 631-1584

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Northern Louisiana Medical Center Hospital, Ruston, LA, CCN 190086
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Natchitoches Regional Medical Center Hospital, Natchitoches, LA, CCN 190007

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince Jun 10, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 10, 2024 Accepting new patients
Northwest Louisiana Nephrology, LLC Nephrology CurrentSince Oct 1, 2025 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients

Locations

1800 Buckner St
Ste C120
Shreveport, LA 71101
Phone (318) 227-8899

2501 Greenwood Rd
Shreveport, LA 71103
Phone (318) 631-1584

575 W 181st St
New York, NY 10033
Phone (212) 342-3060

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

Interoperability endpoints

  • Direct secure messaging: adnan.faruqui@hca4.eclinicaldirectplus.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1700345667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST STE C120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014453",
            "telephone_number": "318-213-2761",
            "fax_number": "318-681-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033905",
            "telephone_number": "318-631-1584",
            "fax_number": "318-635-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARUQUI",
        "first_name": "ADNAN",
        "middle_name": "MUHAMMAD IBNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "348374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.