Individual provider Active NPI

Humaira Faruqui, MD

  • Internal Medicine Physician
  • Spring, TX
National Provider Identifier
1861597619
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M0401 Issued in TX
Practice address
2255 E Mossy Oaks Rd Ste 680
Spring, TX 77389-1812
Phone
(281) 537-0300
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M0401 TX Primary

Addresses

Primary practice location

2255 E Mossy Oaks Rd Ste 680
Spring, TX 77389-1812

Mailing address

19255 Park Row Ste 204
Houston, TX 77084-7310
Phone (281) 829-3860

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Spring Cypress Physicians Association

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050315001078 TX Practitioner - Internal Medicine 8820043524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

16001 Park Ten PL
Suite 300
Houston, TX 77084-7885
Phone (713) 407-3000

Hospital & facility affiliations

  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Primary Care of Houston PLLC Internal Medicine Current Accepting new patients
Village Family Practice, L.L.P Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

16001 Park Ten Pl
Ste 300
Houston, TX 77084
Phone (713) 407-3000

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

19255 Park Row
Ste 204
Houston, TX 77084
Phone (281) 829-3860

16001 Park Ten Pl
Houston, TX 77084
Phone (713) 407-3000

Interoperability endpoints

  • Direct secure messaging: humaira.faruqui.1@13711.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1861597619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19255 PARK ROW STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847310",
            "telephone_number": "281-829-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD STE 680",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891812",
            "telephone_number": "281-537-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARUQUI",
        "first_name": "HUMAIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Spring",
            "affiliation": "Y",
            "affiliationName": "Cypress Physicians Association",
            "address_1": "2255 E Mossy Oaks Rd Ste 680",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773891812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.