Individual provider Active NPI

Shaista Hoda Faruqui, M.D.

  • Hematology & Oncology Physician
  • Baton Rouge, LA
National Provider Identifier
1861489783
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
04632R Issued in LA
Practice address
5320 Dijon Drive
Baton Rouge, LA 70808-4395
Phone
(225) 769-2161
Fax
(225) 769-2166
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 04632R LA Primary

Addresses

Primary practice location

5320 Dijon Drive
Baton Rouge, LA 70808-4395

Mailing address

5320 Dijon Drive
Baton Rouge, LA 70808-4395
Phone (225) 769-2161

Other identifiers 1

IdentifierTypeStateIssuer
1300004MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040817000580 LA Practitioner - HematologyPractitioner - Hematology/OncologyPractitioner - Medical Oncology 3375516453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Medical Oncology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5320 Dijon Dr
Baton Rouge, LA 70808-4313
Phone (225) 769-2161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90.92
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04632RLAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shaista H. Faruqui, M.D. Apmc Hematology & Oncology CurrentSince Jul 1, 2011 Accepting new patients

Locations

5320 Dijon Dr
Baton Rouge, LA 70808
Phone (225) 769-2161

Interoperability endpoints

  • Direct secure messaging: shaista.faruqui@shf.direct-geniusdoc.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1861489783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 DIJON DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084395",
            "telephone_number": "225-769-2161",
            "fax_number": "225-769-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 DIJON DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084395",
            "telephone_number": "225-769-2161",
            "fax_number": "225-769-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARUQUI",
        "first_name": "SHAISTA",
        "middle_name": "HODA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "04632R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300004",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.