Active NPI
Farrukh Javaid, M.D.
- Internal Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1922094036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DR.0069807
- Practice address
- 175 S Union Blvd Ste 350
Colorado Springs, CO 80910-3146 - Phone
- (719) 633-5515
- Fax
- (719) 365-1307
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
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.
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Hospital & facility affiliations 29
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Colorado Springs, CO
- NPI 1346481710
-
- Home Health Agency
- Colorado Springs, CO
- NPI 1972200343
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Poudre Valley Medical Group LLC
Practice addresses (Care Compare)
175 S Union Blvd
Suite 350 Uchealth Inter Med Clinic Printe
Colorado Springs, CO 80910-3146
Phone (719) 633-5515
Hospital & facility affiliations
- Enhabit Home Health
- Benefit Home Health Care
- Uch-Memorial Health System
- Uchealth Grandview Hospital
- Parkview Medical Center, Inc
- Uchealth Pikes Peak Regional Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230404002757 | CO | Practitioner - Internal Medicine | 4880605104 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8020 | NV | MD | General Practice Dentistry |
| DR.0069807 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Farrukh Javaid MD PLLC | Internal Medicine | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
175 S Union Blvd
Ste 350
Colorado Springs, CO 80910
Phone (719) 633-5515
175 S Union Blvd
Ste 305
Colorado Springs, CO 80910
Phone (719) 365-6881
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319
255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00045718 | WA | |
| Internal Medicine Physician | 207R00000X | 7765A | WY | |
| Internal Medicine Physician | 207R00000X | DR.0069807 | CO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
175 S Union Blvd Ste 350
Colorado Springs, CO 80910-3146
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-2417
Other practice location 1
3116 Willett Dr
Laramie, WY 82072-5048
Phone (307) 755-4540
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8464950 | Medicaid | WA | |
| MD00045718 | Other | WA | WA STATE MEDICAL LICENSE |
| 8020 | Other | NV | STATE MEDICAL LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2023.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1922094036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389071",
"telephone_number": "970-624-2417",
"fax_number": "970-490-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 S UNION BLVD STE 350",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103146",
"telephone_number": "719-633-5515",
"fax_number": "719-365-1307"
}
],
"practiceLocations": [
{
"address_1": "3116 Willett Dr",
"address_purpose": "LOCATION",
"city": "Laramie",
"state": "WY",
"postal_code": "820725048",
"country_code": "US",
"telephone_number": "307-755-4540",
"fax_number": "307-755-4539",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAVAID",
"first_name": "FARRUKH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00045718",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WY",
"license": "7765A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0069807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8464950",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE MEDICAL LICENSE",
"identifier": "MD00045718",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "8020",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.