Active NPI
Hossein H Farahany, M.D.
- Cardiovascular Disease Physician
- Charlotte, NC
National Provider Identifier
1932167004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 23377
- Practice address
- 3626 Latrobe Dr
Charlotte, NC 28211-1183 - Phone
- (704) 364-0057
- Fax
- (704) 362-1611
- NPI assigned
- May 1, 2006
- Last updated
- Oct 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23377 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | 23377 | NC | Primary |
Addresses
Primary practice location
3626 Latrobe Dr
Charlotte, NC 28211-1183
Mailing address
3626 Latrobe Dr
Charlotte, NC 28211-1183
Phone (704) 364-0057
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443410 | Medicaid | SC | |
| 8931139 | Medicaid | NC | |
| 060067467 | Other | NC | RAILROAD MEDICARE |
| 31139 | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20090826000215 | NC | Practitioner - Cardiovascular Disease (Cardiology) | 8426103565 | Practice locations: Charlotte, NC |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23377 | NC | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1639123391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1932167004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 LATROBE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111183",
"telephone_number": "704-364-0057",
"fax_number": "704-362-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3626 LATROBE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111183",
"telephone_number": "704-364-0057",
"fax_number": "704-362-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAHANY",
"first_name": "HOSSEIN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "23377",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "23377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "443410",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8931139",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060067467",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "31139",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.