FD Farah Mi PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

4301065535 Issued in MI

Legal business name

FD FARAH MI PLLC

Practice address

1701 South Blvd E
Rochester Hills, MI 48307-6122

Phone

(586) 580-0760

NPI assigned

Jun 18, 2013

Last updated

Nov 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Farah Rafik Dawood-FarahNPI 1841245263

Title

Owner

Phone

(781) 856-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Farah Rafik Dawood-Farah, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Rochester Hills, MI
  • NPI 1841245263
  Medicare reassignment Care Compare group NPD Authorized official
• Mazen Al Mushref, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Grosse Pointe Woods, MI
  • NPI 1356781256
  Medicare reassignment Care Compare group NPD
• Kristin Michelle Kennaugh, RN, BSN

  • Nurse Practitioner
  • Troy, MI
  • NPI 1427611052
  Medicare reassignment Care Compare group NPD
• Adam Peruski, PA-C

  • Physician Assistant
  • West Bloomfield, MI
  • NPI 1558743096
  Medicare reassignment Care Compare group
• Teia Lee Irwin, FNP-BC

  • Family Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1740891639
  Medicare reassignment NPD

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1730528258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480680303",
            "telephone_number": "781-856-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "586-580-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FD FARAH MI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "DAWOOD-FARAH",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "RAFIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-856-7000"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301065535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Mary Farrington, OTR
• Seina Farshadsefat, D.O.
• Jessica Fasse
• Farid T Fata, M.D.
• Meghan Ceverena Faught
• Jessica Fealk
• Brooke Fecteau, MA, LLC, CTP
• Florante Fermil, M.D.
• Mindy Fernando
• Kathleen B Figurski, RN, CNM

• Endocrinology, Diabetes & Metabolism Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.