Active NPI
Faiyaz H Hakim, MD
- Internal Medicine Physician
- Westborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 75082
- Practice address
- 290 Turnpike Rd Ste 150-414
Westborough, MA 01581-2843 - Phone
- (508) 753-4151
- Fax
- (508) 751-1974
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 75082 | MA | |
| Internal Medicine Physician | 207R00000X | 75082 | MA | Primary |
Addresses
Primary practice location
290 Turnpike Rd Ste 150-414
Westborough, MA 01581-2843
Mailing address
290 Turnpike Rd Ste 150-414
Westborough, MA 01581-2843
Phone (508) 753-4151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3090922 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 26.63 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 88.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Row Medical Group PC | Current | Accepting new patients | |
| New England Hospitalists PC | Internal Medicine | Current | Accepting new patients |
| River Terrace Operator LLC | Past | Accepting new patients | |
| Gardner Operations LLC | Past | Accepting new patients | |
| Oc Azure of Worcester Center LLC | Past | Accepting new patients | |
| CHS of Worcester, Inc | Past | Accepting new patients |
Locations
1675 Main St
Lancaster, MA 01523
Phone (732) 903-1985
95 Frank B Murray St
Springfield, MA 01103
Phone (413) 285-8586
290 Turnpike Rd
Ste 150414
Westborough, MA 01581
Phone (508) 414-8959
475 Pleasant St
Ste D
Worcester, MA 01609
Phone (508) 753-4151
39 Queen St
#2433
Worcester, MA 01610
Phone (508) 753-4791
390 Main St
Ste 509
Worcester, MA 01608
Phone (508) 753-4151
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| River Terrace Rehabilitation and Healthcare Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Nov 5, 2016 Nov 5, 2016 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Lancaster, MA
- NPI 1578988010
Adp of the SNF, Operational/Managerial Control
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.
-
- Multi-Specialty Clinic/Center
- Westborough, MA
- NPI 1902320807
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1487803052
-
- Skilled Nursing Facility
- Worcester, MA
- NPI 1366500498
-
- Skilled Nursing Facility
- Gardner, MA
- NPI 1588199467
-
- Skilled Nursing Facility
- Worcester, MA
- NPI 1053072231
-
- Skilled Nursing Facility
- Lancaster, MA
- NPI 1578988010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1932113446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 TURNPIKE RD STE 150-414",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015812843",
"telephone_number": "508-753-4151",
"fax_number": "508-751-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 TURNPIKE RD STE 150-414",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015812843",
"telephone_number": "508-753-4151",
"fax_number": "508-751-1974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIM",
"first_name": "FAIYAZ",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "75082",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "75082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3090922",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.