NPIMap

Individual provider Active NPI

Muhammad Farooq

  • Critical Care Medicine (Internal Medicine) Physician
  • Cape Girardeau, MO
National Provider Identifier
1851656706
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2019024489 Issued in MO
Practice address
1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone
(573) 331-6676
NPI assigned
Jul 6, 2012
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2019024489 MO Primary
Nephrology Physician 207RN0300X 2019024489 MO
Pediatrics Physician 208000000X 29218 OK

Addresses

Primary practice location

1701 Lacey St
Cape Girardeau, MO 63701-5230

Mailing address

1521 Birchwood
Cape Girardeau, MO 63701-2967
Phone (405) 370-3629

Other practice location 1

940 NE 13th St
Oklahoma City, OK 73104-5008
Phone (405) 271-4417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX, IL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191218002331 MO Practitioner - Internal Medicine 9537487327 Reassigns benefits to 1 organization
I20250514002957 TX Practitioner - Nephrology 9537487327 Reassigns benefits to 1 organization
I20250620003281 IL Practitioner - NephrologyPractitioner - Internal Medicine 9537487327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Center Elgin LLCGroup PAC ID 2769634252, 8 clinicians

Practice addresses (Care Compare)

1670 Capital St
Suite 900
Elgin, IL 60124-8198
Phone (224) 238-3211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019024489MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Apr 15, 2025 Accepting new patients
Horizon Virtual Care Nephrology Current Accepting new patients
Kidney Care Center Elgin LLC Nephrology CurrentSince Jun 1, 2025 Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Nov 3, 2019 Accepting new patients
Rosebud Indian Health Service CurrentSince Apr 15, 2025 Accepting new patients
Southeast Hospital Current Accepting new patients

Locations

442 N Il Route 31
Crystal Lake, IL 60012
Phone (224) 238-3211

1670 Capital St
Ste 900
Elgin, IL 60124
Phone (224) 214-1943

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

Organizations & group practices 6

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 5

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": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1851656706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 BIRCHWOOD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012967",
            "telephone_number": "405-370-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LACEY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015230",
            "telephone_number": "573-331-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 NE 13th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045008",
            "country_code": "US",
            "telephone_number": "405-271-4417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "MUHAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "2019024489",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2019024489",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "29218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.