Atif Farag, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD070335L Issued in PA

Practice address

1800 E Park Ave
State College, PA 16803-6701

Phone

(814) 231-7000

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Anesthesiology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Nittany Medical CenterGroup PAC ID 2365353364, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Nittany Medical Center Hospital, State College, PA, CCN 390268

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mount Nittany Medical Center

  • Anesthesiology Physician
  • State College, PA
  • NPI 1528321015

  Anesthesiology, PA

  Medicare reassignment Care Compare group NPD
• Dubois Regional Medical Center

  • Anesthesiology Physician
  • Du Bois, PA
  • NPI 1447357843

  Anesthesiology, PA

  Medicare reassignment NPD
• Elk Regional Health Center

  • Anesthesiology Physician
  • Saint Marys, PA
  • NPI 1326427196

  Anesthesiology, PA

  Medicare reassignment NPD
• J C Blair Medical Services Inc

  • Family Medicine Physician
  • Huntingdon, PA
  • NPI 1861575938

  Anesthesiology, PA

  Medicare reassignment NPD
• J C Blair Memorial Hospital

  • General Acute Care Hospital
  • Huntingdon, PA
  • NPI 1427269174

  PA

  Medicare reassignment NPD
• J C Blair Memorial Hospital

  • General Acute Care Hospital
  • Huntingdon, PA
  • NPI 1790996445

  PA

  Medicare reassignment NPD
• Tyrone Hospital

  • Critical Access Hospital
  • Tyrone, PA
  • NPI 1659472447

  PA

  Medicare reassignment NPD
• Mount Nittany Medical Center

  • Clinic/Center
  • State College, PA
  • NPI 1194521302
  Care Compare group NPD
• Mount Nittany Medical Center

  • Prosthetic/Orthotic Supplier
  • State College, PA
  • NPI 1235339243
  Care Compare group
• Mount Nittany Medical Center

  • Psychiatric Hospital Unit
  • State College, PA
  • NPI 1710958251
  Care Compare group
• Mount Nittany Medical Center

  • General Acute Care Hospital
  • State College, PA
  • NPI 1730173154
  Care Compare group
• Mount Nittany Medical Center

  • Land Ambulance
  • State College, PA
  • NPI 1912906207
  Care Compare group

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

• Mount Nittany Medical Center

  • Pain Clinic/Center
  • State College, PA
  • NPI 1104991801

  Hospital

  Care Compare affiliation
• Mount Nittany Medical Center

  • Clinic/Center
  • State College, PA
  • NPI 1194521302

  Hospital

  Care Compare affiliation
• Mount Nittany Medical Center

  • General Acute Care Hospital
  • State College, PA
  • NPI 1730173154

  Hospital

  Care Compare affiliation
• Mount Nittany Medical Center

  • Ambulatory Surgical Clinic/Center
  • State College, PA
  • NPI 1780750620

  Hospital

  Care Compare affiliation
• Mount Nittany Medical Center

  • Ambulatory Surgical Clinic/Center
  • State College, PA
  • NPI 1780752378

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1790710358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 S ATHERTON ST",
            "address_2": "STE A",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168018308",
            "telephone_number": "814-235-3898",
            "fax_number": "814-235-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036701",
            "telephone_number": "814-231-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAG",
        "first_name": "ATIF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD070335L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENT",
            "identifier": "50020159",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE  CROSS",
            "identifier": "50020159",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "738002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "57757",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00019734",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017954640002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne Fagan
• Dennis Alan Faith, MD
• Family Recovery, LLC
• Elfrieda A Fanelli, CRNA
• Michelle Lynn Fanning-Hursh, FNP-C
• Nancy Farber, PH.D.
• Ryan D Farley, PA-C
• Ola Farrag
• Craig Sherman Feaster, M.D.
• Eric James Feese, MD

• All providers in State College, PA
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.