Individual provider Active NPI

Faryal Shareef, MD

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1760973317
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
76853 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-4242
NPI assigned
May 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R76842 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 76853 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

Other practice location 1

385 Main St S
Southbury, CT 06488-4240
Phone (203) 267-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230517000448 AZ Practitioner - Diagnostic Radiology 2769848720 Reassigns benefits to 1 organization
I20240311000622 CT Practitioner - Diagnostic Radiology 2769848720 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arizona College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naugatuck Valley MRI LLCGroup PAC ID 2668367756, 7 clinicians
Diagnostic Imaging Associates LLCGroup PAC ID 0143127241, 10 clinicians
Prospect Diagnostic ImagingGroup PAC ID 0244137214, 10 clinicians
Diagnostic Imaging of SouthburyGroup PAC ID 0143127548, 11 clinicians
Naugatuck Valley Radiological Associates PCGroup PAC ID 5092600189, 12 clinicians

Practice addresses (Care Compare)

1389 W Main St
Waterbury, CT 06708-3104
Phone 20326479991130

1389 W Main St
Waterbury, CT 06708-3115
Phone (203) 574-1311

166 Waterbury Rd
Prospect, CT 06712-1200
Phone (203) 758-7700

385 Main St S
Southbury, CT 06488-4240
Phone (203) 264-7999

385 Main St S
BLDG 1
Southbury, CT 06488-4246
Phone (203) 267-5114

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R76842AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naugatuck Valley MRI LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Naugatuck Valley Radiological Associates PC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Diagnostic Imaging of Southbury CurrentSince Mar 1, 2024 Accepting new patients
Prospect Diagnostic Imaging CurrentSince Mar 1, 2024 Accepting new patients
Diagnostic Imaging Associates LLC CurrentSince Mar 1, 2024 Accepting new patients
Naugatuck Valley Computerized Imaging Past Accepting new patients

Locations

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

166 Waterbury Rd
Prospect, CT 06712
Phone (203) 264-7999

385 Main St S
Ofc
Southbury, CT 06488
Phone (203) 264-7999

385 Main St S
Bldg 1
Southbury, CT 06488
Phone (203) 264-7999

385 Main St S
Southbury, CT 06488
Phone (203) 264-7999

1389 W Main St
Waterbury, CT 06708
Phone (203) 264-7999

Organizations & group practices 7

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 2

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1760973317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Main St S",
            "address_purpose": "LOCATION",
            "city": "Southbury",
            "state": "CT",
            "postal_code": "064884240",
            "country_code": "US",
            "telephone_number": "203-267-5114",
            "fax_number": "203-264-7477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAREEF",
        "first_name": "FARYAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R76842",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "76853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.