Individual provider Active NPI

Carl E Farah, M.D.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1811221104
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
43010869686 Issued in MI
Practice address
3447 E Glenhaven Dr
Phoenix, AZ 85048-7882
Phone
(202) 492-0411
NPI assigned
Sep 21, 2009
Last updated
May 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 43010869686 MI Primary

Addresses

Primary practice location

3447 E Glenhaven Dr
Phoenix, AZ 85048-7882

Mailing address

19765 Fairbrook Dr
Macomb, MI 48044-2840

Other practice location 1

19765 Fairbrook Dr
Macomb, MI 48044-2840
Phone (801) 361-6457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC, NJ, AZ, CA, FL6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20121024000678 MI Practitioner - Diagnostic Radiology 1557511755 Reassigns benefits to 1 organization
I20240425001769 SC Practitioner - Diagnostic Radiology 1557511755 Reassigns benefits to 1 organization
I20240515004292 NJ Practitioner - Diagnostic Radiology 1557511755 Reassigns benefits to 2 organizations
I20240927002921 AZ Practitioner - Diagnostic Radiology 1557511755 Reassigns benefits to 1 organization
I20241030004402 CA Practitioner - Diagnostic Radiology 1557511755 Reassigns benefits to 1 organization
I20260417001890 FL Practitioner - Diagnostic Radiology 1557511755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
Radiology Center at Harding IncGroup PAC ID 9830107333, 3 clinicians
Harding Radiology CorporationGroup PAC ID 9830631795, 2 clinicians
Indian River MRI IncGroup PAC ID 0446248363, 8 clinicians
Valley MRI and Radiology IncGroup PAC ID 0941470223, 9 clinicians

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (747) 293-9005

1201 Mount Kemble Ave
Morristown, NJ 07960-6667
Phone (908) 221-0603

1850 37TH St
Vero Beach, FL 32960-4856
Phone (772) 562-3030

19765 Fairbrook Dr
Macomb, MI 48044-2840
Phone (747) 293-9005

546 E Pine St
Stockton, CA 95204-5525
Phone (209) 467-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.17 of 100Reported as group
Quality
38.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43010869686MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Mar 18, 2024 Accepting new patients
Premier Mountain Imaging Center CurrentSince Jul 5, 2024 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Global Radiology Consultants CurrentSince May 11, 2025 Accepting new patients
Harding Radiology Corporation CurrentSince May 22, 2024 Accepting new patients
Valley MRI and Radiology Inc Diagnostic Radiology CurrentSince Jul 5, 2024 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Radiology Center at Harding Inc Diagnostic Radiology CurrentSince May 8, 2024 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Mar 25, 2024 Accepting new patients
Southwest Health Center PA Diagnostic Radiology PastSince May 25, 2025 Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients

Locations

5448 Highway 260
Ste 110
Lakeside, AZ 85929
Phone (928) 216-5250

546 E Pine St
Stockton, CA 95204
Phone (209) 467-1000

546 E Pine St
Ste A
Stockton, CA 95204

1201 Mount Kemble Ave
Ste B
Morristown, NJ 07960
Phone (908) 221-0603

1201 Mount Kemble Ave
Township of Mendham, NJ 07960
Phone (908) 221-0603

1 Cannon Dr
Greenville, SC 29605
Phone (336) 970-5318

1 Marcus Dr
Ste 100
Greenville, SC 29615
Phone (864) 751-2051

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

104 Innovation Dr
Greenville, SC 29607
Phone (864) 255-1000

1050 Grove Rd
Greenville, SC 29605
Phone (864) 242-5020

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

131 Commonwealth Dr
Ste 220
Greenville, SC 29615
Phone (864) 213-9927

2 Innovation Dr
Greenville, SC 29607
Phone (864) 400-3600

35 International Dr
Greenville, SC 29615
Phone (864) 242-5020

5 S Lewis Plz
Greenville, SC 29605
Phone (864) 242-4122

309 W Butler Rd
Mauldin, SC 29662
Phone (864) 295-2131

3970 Grandview Dr
Ste 1400
Simpsonville, SC 29680
Phone (864) 234-9900

Organizations & group practices 12

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 6

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": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1811221104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19765 FAIRBROOK DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3447 E GLENHAVEN DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487882",
            "telephone_number": "202-492-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19765 Fairbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480442840",
            "country_code": "US",
            "telephone_number": "801-361-6457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAH",
        "first_name": "CARL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "43010869686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.