NPIMap

Individual provider Active NPI

Husam Hanna Farah, MD

  • Cardiovascular Disease Physician
  • Dover, NH
National Provider Identifier
1922043934
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
14541 Issued in NH
Practice address
19 Old Rollinsford Rd BLDG B
Dover, NH 03820-2807
Phone
(603) 516-4265
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 14541 NH Primary
Internal Medicine Physician 207R00000X 14541 NH

Addresses

Primary practice location

19 Old Rollinsford Rd BLDG B
Dover, NH 03820-2807

Mailing address

PO Box 412503
Boston, MA 02241-2503
Phone (617) 726-3884

Other practice location 1

85 Spring St
Suite 2A-1
Laconia, NH 03246-3113
Phone (603) 524-1600

Other identifiers 1

IdentifierTypeStateIssuer
3073279MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091016000336 NH Practitioner - Cardiovascular Disease (Cardiology) 5597651851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wentworth Douglass Physician CorporationGroup PAC ID 5496749848, 429 clinicians

Practice addresses (Care Compare)

19 Old Rollinsford Rd
BLDG B
Dover, NH 03820-2807
Phone (603) 516-4265

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312
  • York Hospital Hospital, York, ME, CCN 200020
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14541NHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation Cardiovascular Disease Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jun 6, 2022 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jun 6, 2022 Accepting new patients
University of Pittsburgh Physicians Past Accepting new patients
John Muir Physician Network Past Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients
Concord Hospital, Inc. Past Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

10 Members Way
Ste 301
Dover, NH 03820
Phone (603) 609-6685

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

19 Old Rollinsford Rd
Bldg B
Dover, NH 03820
Phone (603) 516-4265

67 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 431-5529

67 Corporate Dr
Fl 2
Portsmouth, NH 03801
Phone (603) 610-8078

3 Terrascape Pkwy
Somersworth, NH 03878
Phone (603) 609-6726

Interoperability endpoints

  • Direct secure messaging: farah.husam.wdh@direct.partners.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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 8

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1922043934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412503",
            "telephone_number": "617-726-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLD ROLLINSFORD RD BLDG B",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202807",
            "telephone_number": "603-516-4265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Spring St",
            "address_2": "Suite 2A-1",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032463113",
            "country_code": "US",
            "telephone_number": "603-524-1600",
            "fax_number": "603-524-2945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAH",
        "first_name": "HUSAM",
        "middle_name": "HANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NH",
            "license": "14541",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "14541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073279",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.