Individual provider Active NPI

Sayeed Farooqui, M.D.

  • Specialist
  • Washington, DC
National Provider Identifier
1891782413
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0056395 Issued in MD
Practice address
747 Alabama Ave SE
Washington, DC 20032-4139
Phone
(202) 563-0100
Fax
(202) 563-7780
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0056395 MD Primary

Addresses

Primary practice location

747 Alabama Ave SE
Washington, DC 20032-4139

Mailing address

747 Alabama Ave SE
Washington, DC 20032-4139
Phone (202) 563-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20060616000100 MD Practitioner - Pediatric Medicine 2466464235 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0056395MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at Civista LLC CurrentSince Jan 22, 2016 Accepting new patients
Civista Medical Center Inc Past Accepting new patients
Harbor Hospital Past Accepting new patients
Joseph S. Fastow, M.D., P.a. Past Accepting new patients
Cambridge Pediatrics, LLC Past Accepting new patients
Harbor Hospital Past Accepting new patients

Locations

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

Interoperability endpoints

  • Direct secure messaging: sayeed.farooqui@cpl.eclinicaldirectplus.com
  • Direct secure messaging: sfarooqui547971@direct.umm.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1891782413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 ALABAMA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324139",
            "telephone_number": "202-563-0100",
            "fax_number": "202-563-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 ALABAMA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324139",
            "telephone_number": "202-563-0100",
            "fax_number": "202-563-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQUI",
        "first_name": "SAYEED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0056395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.