Individual provider Active NPI

Naqeeb M Faroqui, MD

  • Surgery Physician
  • Gainesville, GA
National Provider Identifier
1700424520
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
113170 Issued in GA
Practice address
1439 Jesse Jewell Pkwy NE Ste 302
Gainesville, GA 30501-3806
Phone
(770) 219-9200
NPI assigned
Dec 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 113170 GA Primary
Surgery Physician 208600000X MD487238 PA

Addresses

Primary practice location

1439 Jesse Jewell Pkwy NE Ste 302
Gainesville, GA 30501-3806

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 848-8448

Other practice location 1

4815 Liberty Ave Ste 439
Pittsburgh, PA 15224-2156
Phone (724) 260-7300

Other identifiers 1

IdentifierTypeStateIssuer
16545393OtherCAQH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250718000307 PA Practitioner - General Surgery 9830605815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Mercer University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

4815 Liberty Ave
Suite 439
Pittsburgh, PA 15224-2156
Phone (412) 681-2300

Hospital & facility affiliations

  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD487238PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2025 Accepting new patients
Allegheny Clinic Surgery CurrentSince Aug 1, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc Surgery PastSince May 16, 2022 Accepting new patients

Locations

4815 Liberty Ave
Ste 439
Pittsburgh, PA 15224
Phone (412) 578-3925

320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901

Interoperability endpoints

  • Direct secure messaging: nfaroqui1038889@direct.ahn.org

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 5

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1700424520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-848-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 JESSE JEWELL PKWY NE STE 302",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013806",
            "telephone_number": "770-219-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Liberty Ave Ste 439",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152242156",
            "country_code": "US",
            "telephone_number": "724-260-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROQUI",
        "first_name": "NAQEEB",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "113170",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD487238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16545393",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.