Active NPI
Irfan A Afaq, M.D.
- Specialist
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01057489A
- Practice address
- 2700 Vissing Park Rd
Jeffersonville, IN 47130-5989 - Phone
- (502) 265-0491
- Fax
- (502) 222-8745
- NPI assigned
- Aug 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 37705 | KY | |
| Specialist | 174400000X | 01057489A | IN | Primary |
Addresses
Primary practice location
2700 Vissing Park Rd
Jeffersonville, IN 47130-5989
Mailing address
PO Box 265
Jeffersonville, IN 47131-0265
Phone (502) 265-0491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30612022 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040315000675 | IN | Practitioner - Psychiatry | 8921997123 | Reassigns benefits to 1 organization |
| I20041108000539 | KY | Practitioner - Psychiatry | 8921997123 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
1006 New Moody LN
FL 1
La Grange, KY 40031-9122
Phone (502) 222-0028
1405 Browns LN
Louisville, KY 40207-4608
Phone (502) 896-0495
2020 Newburg Rd
Louisville, KY 40205-1803
Phone (502) 451-3330
2700 Vissing Park Rd
Jeffersonville, IN 47130-5989
Phone (812) 284-8000
789 Eastern Bypass
Suite 23
Richmond, KY 40475-2421
Phone (606) 523-8521
Hospital & facility affiliations
- Baptist Health Lagrange
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057489A | IN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TBD Acquisition, LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Psychiatry | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Afaq Medical Services LLC | Specialist | Current | Accepting new patients |
| Baptist Healthcare System, Inc. | Past | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Past | Accepting new patients | |
| Southern Hills Counseling Center, Inc. | Psychiatry | Past | Accepting new patients |
| Wellstone Regional Hospital Acquisition LLC | Psychiatry | Past | Accepting new patients |
| Baptist Healthcare System, Inc. | Past | Accepting new patients | |
| Kentucky River Community Care, Inc | Specialist | Past | Accepting new patients |
| TBD Acquisition LLC | Past | Accepting new patients | |
| Lifespring, Inc | Past | Accepting new patients |
Locations
2700 Vissing Park Rd
Jeffersonvlle, IN 47130
Phone (812) 246-9809
1006 New Moody Ln
Fl 1
Lagrange, KY 40031
Phone (502) 222-0028
1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
8521 La Grange Rd
Louisville, KY 40242
Phone (502) 426-5648
1405 Browns Ln
Louisville, KY 40207
Phone (502) 896-0495
2020 Newburg Rd
Louisville, KY 40205
Phone (502) 315-1458
789 Eastern Byp
Ste 23
Richmond, KY 40475
Phone (859) 544-8171
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
-
- Pain Medicine Physician
- Jasper, IN
- NPI 1457164543
-
- Community/Behavioral Health Agency
- Dale, IN
- NPI 1639029283
-
- Psychiatric Hospital
- Jeffersonville, IN
- NPI 1841215985
Psychiatry
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
-
- General Acute Care Hospital
- Richmond, KY
- NPI 1568452290
Hospital & facility affiliations 1
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": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1790778447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 265",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471310265",
"telephone_number": "502-265-0491",
"fax_number": "502-222-8745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 VISSING PARK RD",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471305989",
"telephone_number": "502-265-0491",
"fax_number": "502-222-8745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFAQ",
"first_name": "IRFAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-29",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "37705",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01057489A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30612022",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
- Advanced Regional Surgery Center, LLC
- Aegis Group Practice LLC
- Anthony Aemmer II, APRN
- Aerete Integrative Medicine LLC
- Afaq Medical Services LLC
- Affordable Dentures & Implants - Jeffersonville II, P.C.
- Affordable Dentures & Implants - Jeffersonville, P.C.
- Afton Home Care, Inc.
- Afton Pharmacy Store
- Agilitas USA Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.