NPIMap

Organization Active NPI

Consultants in Sleep & Pulmonary Medicine PLLC

  • Pulmonary Disease Physician
  • Farmington Hills, MI
National Provider Identifier
1740353069
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CONSULTANTS IN SLEEP & PULMONARY MEDICINE PLLC
Practice address
29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817
Phone
(248) 350-2722
Fax
(248) 350-0154
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. Mohammed Waseem Farra, M.D.
Title
Owner
Phone
(248) 350-2722

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817

Mailing address

29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817
Phone (248) 350-2722

Other identifiers 2

IdentifierTypeStateIssuer
0F37521OtherMIBLUE CROSS BLUE SHIELD
CH9759OtherMIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050913000986 MI Part B Supplier - Clinic/Group Practice 1658333125 Receives reassigned benefits from 25 practitioners
Practice locations: Farmington Hills, MI; Howell, MI; Novi, MI; Royal Oak, MI; Southfield, MI

National Provider Directory

National Provider Directory

Locations

29482 W 10 Mile Rd
Farmington Hills, MI 48336

1255 S Latson Rd
Ste 320
Howell, MI 48843
Phone (248) 350-2722

37595 7 Mile Rd
Ste 320
Livonia, MI 48152
Phone (248) 350-2722

26850 Providence Pkwy
Ste 501
Novi, MI 48374
Phone (248) 356-5033

28200 Franklin Rd
Southfield, MI 48034
Phone (248) 350-2722

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1740353069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29275 W 10 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362817",
            "telephone_number": "248-350-2722",
            "fax_number": "248-350-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29275 W 10 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362817",
            "telephone_number": "248-350-2722",
            "fax_number": "248-350-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN SLEEP & PULMONARY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "FARRA",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "WASEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-350-2722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0F37521",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH9759",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.