Individual provider Active NPI

Irfan A Afaq, M.D.

  • Specialist
  • Jeffersonville, IN
National Provider Identifier
1790778447
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01057489A Issued in IN
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

Updated by the provider on May 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30612022MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
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 2,431 clinicians

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 Hospital, La Grange, KY, CCN 180138

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
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

LicenseStateTypeSpecialty
01057489AINMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
TBD Acquisition, LLC CurrentSince Aug 1, 2014 Accepting new patients
Baptist Health Medical Group Inc Psychiatry CurrentSince Dec 1, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 31, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2023 Accepting new patients
Afaq Medical Services LLC Specialist CurrentSince Nov 1, 2007 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 PastSince Jul 4, 2009 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.

View all 13

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

Sources for this page

Verify at the official NPI Registry.