Individual provider Active NPI

Faiyaz Uddin, M.D.

  • General Practice Physician
  • Torrance, PA
National Provider Identifier
1801815659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD031094E Issued in PA
Practice address
State Route 1014
Torrance State Hospital
Torrance, PA 15779
Phone
(724) 459-4649
Fax
(724) 459-1237
NPI assigned
Jul 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD031094E PA Primary

Addresses

Primary practice location

State Route 1014
Torrance State Hospital
Torrance, PA 15779

Mailing address

245 Meadow Spring Rd
Greensburg, PA 15601-6936
Phone (724) 832-2335

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100729000039 PA Practitioner - General Practice 9638202534 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD031094EPAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Human Services CurrentSince Jan 1, 1966 Accepting new patients
Pennsylvania Department of Public Welfare CurrentSince Jan 1, 1966 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801815659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MEADOW SPRING RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016936",
            "telephone_number": "724-832-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE ROUTE 1014",
            "address_2": "TORRANCE STATE HOSPITAL",
            "city": "TORRANCE",
            "state": "PA",
            "postal_code": "15779",
            "telephone_number": "724-459-4649",
            "fax_number": "724-459-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "FAIYAZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD031094E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, PA

Sources for this page

Verify at the official NPI Registry.