NPIMap

Individual provider Active NPI

Ahmed Omer Farooq, MD

  • Infectious Disease Physician
  • Venice, FL
National Provider Identifier
1811021769
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME 91511 Issued in FL
Practice address
219 Palermo PL
Venice, FL 34285-2821
Phone
(941) 244-9524
Fax
(941) 244-9526
NPI assigned
Mar 15, 2007
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 2005-00638 NC
Infectious Disease Physician 207RI0200X ME 91511 FL Primary

Addresses

Primary practice location

219 Palermo PL
Venice, FL 34285-2821

Mailing address

219 Palermo PL
Venice, FL 34285-2821
Phone (941) 244-9524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100323000527 FL Practitioner - Infectious Disease 2860577541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metrolina Infectious Diseases, P.a.Group PAC ID 7214012996, 8 clinicians

Practice addresses (Care Compare)

219 Palermo PL
Venice, FL 34285-2821
Phone (941) 244-9524

517 Riviera St D
Venice, FL 34285-2827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 91511FLMDInfectious Disease Physician
2005-00638NCMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richwood Area Community Hospital Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ahmedfarooq@mid.ssdirect.aprima.com

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.

Hospital & facility affiliations 10

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1811021769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 PALERMO PL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852821",
            "telephone_number": "941-244-9524",
            "fax_number": "941-244-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 PALERMO PL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852821",
            "telephone_number": "941-244-9524",
            "fax_number": "941-244-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "AHMED",
        "middle_name": "OMER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "2005-00638",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME 91511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.