Individual provider Active NPI

Samer Farah, MD

  • Retina Specialist (Ophthalmology) Physician
  • Bronx, NY
National Provider Identifier
1790746220
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
203138 Issued in NY
Practice address
3250 Westchester Ave
Suite 203a
Bronx, NY 10461-4500
Phone
(718) 823-0820
Fax
(718) 823-0821
NPI assigned
Apr 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 203138 NY Primary

Addresses

Primary practice location

3250 Westchester Ave
Suite 203a
Bronx, NY 10461-4500

Mailing address

3250 Westchester Ave
Suite 203a
Bronx, NY 10461-4500
Phone (718) 823-0820

Other names 1

  • Mr. Samer Farah Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041117000977 NY Practitioner - Ophthalmology 0648234781 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles (3 of 6)

OrganizationSpecialtyStatusNew patients
Sam Farah MD. LLC CurrentSince Feb 28, 2005 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

3250 Westchester Ave
Ste 203A
Bronx, NY 10461
Phone (718) 823-0820

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3250 Westchester Ave
Suite 203a
Bronx, NY 10461-4580
Phone (718) 823-0820

Merit-based Incentive Payment System (MIPS)

Final score
66.46 of 100Reported as individual
Quality
31.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

NPI Registry JSON

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

{
    "created_epoch": "1143936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1790746220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 WESTCHESTER AVE",
            "address_2": "SUITE 203A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614500",
            "telephone_number": "718-823-0820",
            "fax_number": "718-823-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WESTCHESTER AVE",
            "address_2": "SUITE 203A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614500",
            "telephone_number": "718-823-0820",
            "fax_number": "718-823-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAH",
        "first_name": "SAMER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "203138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMER",
            "last_name": "FARAH",
            "prefix": "MR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.