Individual provider Active NPI

Durathun Farha, MD

  • Internal Medicine Physician
  • Burlington, MA
National Provider Identifier
1801871777
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
161291 Issued in MA
Practice address
41 Mall Rd.
Lahey Clinic
Burlington, MA 01805-0001
Phone
(781) 744-7000
Fax
(781) 744-5352
NPI assigned
Dec 13, 2005
Last updated
Nov 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 161291 MA Primary

Addresses

Primary practice location

41 Mall Rd.
Lahey Clinic
Burlington, MA 01805-0001

Mailing address

346 E Border Rd
Medford, MA 02155-1158
Phone (781) 322-3711

Other identifiers 1

IdentifierTypeStateIssuer
110000208AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060404000679 MA Practitioner - Internal Medicine 2264440163 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161291MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todays Wellness PLLC CurrentSince Sep 12, 2024 Accepting new patients
Todays Wellness PLLC Internal Medicine CurrentSince Sep 12, 2024 Accepting new patients
LGH Professional Services LLC Internal Medicine Past Accepting new patients

Locations

790 Turnpike St
Ste 300
North Andover, MA 01845
Phone (978) 327-5960

3 Woodland Rd
Ste 213
Stoneham, MA 02180
Phone (781) 662-7990

64C Concord St
Wilmington, MA 01887
Phone (978) 658-4432

Interoperability endpoints

  • Direct secure messaging: farha.durathun.1@3764.direct.athenahealth.com

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, 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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1801871777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 E BORDER RD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551158",
            "telephone_number": "781-322-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL RD.",
            "address_2": "LAHEY CLINIC",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-7000",
            "fax_number": "781-744-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHA",
        "first_name": "DURATHUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "161291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110000208A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.