Individual provider Active NPI

Faiyaz H Hakim, MD

  • Internal Medicine Physician
  • Westborough, MA
National Provider Identifier
1932113446
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
75082 Issued in MA
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

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3090922MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121000357 MA Practitioner - Internal MedicinePractitioner - Emergency Medicine 1355360207 Reassigns benefits to 2 organizations
Practice locations: Worcester, MA; Rochdale, MA; Westfield, MA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
26.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
88.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Row Medical Group PC CurrentSince Jul 11, 2017 Accepting new patients
New England Hospitalists PC Internal Medicine CurrentSince Oct 1, 2008 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.

FacilityTypeRoleSince
River Terrace Rehabilitation and Healthcare CenterLancaster, MA, CCN 225210 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.

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.

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

Verify at the official NPI Registry.