Organization Active NPI

Faris Z Hakki, M.D.

  • Vascular Surgery Physician
  • Washington, DC
National Provider Identifier
1922346832
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD21291 Issued in DC
Legal business name
FARIS Z HAKKI, M.D.
Practice address
106 Irving St NW
Pob 408
Washington, DC 20010-2927
Phone
(301) 943-1646
Fax
(410) 721-6363
NPI assigned
Jan 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Faris Z Hakki, MDNPI 1437168325
Title
Sole Owner
Phone
(301) 943-1646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X MD21291 DC Primary

Addresses

Primary practice location

106 Irving St NW
Pob 408
Washington, DC 20010-2927

Mailing address

106 Irving St NW
Pob 408
Washington, DC 20010-2927
Phone (301) 943-1646

Other identifiers 2

IdentifierTypeStateIssuer
1437168325OtherDCINDIVIDUAL NPI
026637100MedicaidDC

Other names 1

  • hakki medical association pc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130516000116 DC Part B Supplier - Clinic/Group Practice 8820235534 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

106 Irving St NW
Ste 408
Washington, DC 20010
Phone (202) 531-3630

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1922346832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "POB 408",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "301-943-1646",
            "fax_number": "410-721-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "POB 408",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "301-943-1646",
            "fax_number": "410-721-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIS Z HAKKI, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "HAKKI",
        "authorized_official_first_name": "FARIS",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "301-943-1646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "DC",
            "license": "MD21291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1437168325",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026637100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hakki medical association pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.