Individual provider Active NPI

Sherif A Farag, MD

  • Gastroenterology Physician
  • Staten Island, NY
National Provider Identifier
1861467250
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
213601 Issued in NY
Practice address
5091 Amboy Rd
Staten Island, NY 10312-4722
Phone
(718) 948-0221
NPI assigned
Feb 21, 2006
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 213601 NY Primary

Addresses

Primary practice location

5091 Amboy Rd
Staten Island, NY 10312-4722

Mailing address

26 Algonkin St
Staten Island, NY 10312-4302
Phone (718) 605-8155

Other identifiers 1

IdentifierTypeStateIssuer
02022457MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040424000139 NY Practitioner - Gastroenterology 3678569530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of North Carolina at Chapel Hill School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sherif a Farag MD PCGroup PAC ID 1254588155, 2 clinicians

Practice addresses (Care Compare)

5091 Amboy Rd
Staten Island, NY 10312-4722
Phone (718) 948-0221

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
84.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy288
Upper gastrointestinal (GI) endoscopy for acid reflux211

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sherif a. Farag, MD, PC Gastroenterology CurrentSince Jan 1, 2012 Accepting new patients
Gias Medical, PLLC CurrentSince Apr 18, 2007 Accepting new patients
Richmond University Medical Center Past Accepting new patients

Locations

5091 Amboy Rd
Staten Island, NY 10312
Phone (718) 948-0221

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sfarag65512@northwell.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Health Center of Richmond Inc.Staten Island, NY, CCN 331136 Federally qualified health center Operational/Managerial Control Mar 1, 2013
Community Health Center of Richmond Inc.Staten Island, NY, CCN 571003 Federally qualified health center Other May 21, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 1

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1861467250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ALGONKIN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124302",
            "telephone_number": "718-605-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124722",
            "telephone_number": "718-948-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAG",
        "first_name": "SHERIF",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "213601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02022457",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.