Derek A Farley, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K6458 Issued in TX

Practice address

931 Topaz LN
Oak Point, TX 75068-2274

Phone

(972) 292-3911

Fax

(972) 292-3911

NPI assigned

Jun 21, 2005

Last updated

Nov 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 8, 2022 through Feb 8, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: derek.farley@248312737759236.direct.elationemr.com

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.

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• Texas Em-1 Medical Services, PA

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1851397277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 TOPAZ LN",
            "city": "OAK POINT",
            "state": "TX",
            "postal_code": "750682274",
            "telephone_number": "972-292-3911",
            "fax_number": "972-292-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 TOPAZ LN",
            "city": "OAK POINT",
            "state": "TX",
            "postal_code": "750682274",
            "telephone_number": "972-292-3911",
            "fax_number": "972-292-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "DEREK",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125658807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary E Cabral, RD/LD
• Brenda June Casey, LCSW
• City of Oak Point Texas
• CVS Pharmacy Inc. (CVS Pharmacy # 11133)
• Jaricia Gwendolyn Daniels
• Patricia Ann Flores, RN
• Amanda Rae Foltz, MA, MS, NCC, LPC-A
• Lydia Suzanne Fulton, PA-C
• Andrew Garza
• David Crockett Harper, MD

• Family Medicine Physician in Oak Point, TX
• Providers in Oak Point, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.