Individual provider Active NPI

Jamil Taha El-Farra, MD

  • Maternal & Fetal Medicine Physician
  • Louisville, KY
National Provider Identifier
1912225665
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
50660 Issued in KY
Practice address
601 S Floyd St Ste 700
Louisville, KY 40202-1845
Phone
(502) 629-7181
Fax
(502) 629-6957
NPI assigned
May 5, 2010
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 23084 MS
Obstetrics & Gynecology Physician 207V00000X 52481 CT
Maternal & Fetal Medicine Physician 207VM0101X 50660 KY Primary

Addresses

Primary practice location

601 S Floyd St Ste 700
Louisville, KY 40202-1845

Mailing address

601 South Floyd Street
Suite 700
Louisville, KY 40202-4500
Phone (502) 629-7181

Other identifiers 1

IdentifierTypeStateIssuer
06877552MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170920001930 KY Practitioner - Obstetrics/Gynecology 3173846060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52481CTMDObstetrics & Gynecology Physician
50660KYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

601 S Floyd St
Ste 700
Louisville, KY 40202
Phone (502) 629-7181

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1912225665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SOUTH FLOYD STREET",
            "address_2": "SUITE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402024500",
            "telephone_number": "502-629-7181",
            "fax_number": "502-629-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S FLOYD ST STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021845",
            "telephone_number": "502-629-7181",
            "fax_number": "502-629-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-FARRA",
        "first_name": "JAMIL",
        "middle_name": "TAHA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-05",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "23084",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "52481",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KY",
            "license": "50660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06877552",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.