Active NPI
Fariba Hassani, MD
- Internal Medicine Physician
- Somerset, PA
National Provider Identifier
1942200670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD062097L
- Practice address
- 105 W. Church Street
Suite 1
Somerset, PA 15501-2251 - Phone
- (814) 445-3812
- Fax
- (814) 444-1852
- NPI assigned
- Jul 22, 2005
- Reactivated
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD062097L | PA | Primary |
Addresses
Primary practice location
105 W. Church Street
Suite 1
Somerset, PA 15501-2251
Mailing address
105 W Church Street
Suite 1
Somerset, PA 15501-2251
Phone (814) 445-3812
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166984301 | Medicaid | PA | |
| 122808 | Other | PA | BLUE CROSS/SHIELD |
| 1526315 | Other | UMWA | |
| 922532 | Other | AETNA | |
| 110175670 | Other | PA | RR MEDICARE |
| PC854595 | Other | MAMSI | |
| 094423 | Other | US HEALTHCARE | |
| 204916 | Other | PA | UPMC HEALTH PLAN |
| 1502227 | Other | PA | GATEWAY HEALTH PLAN |
| 76478 | Other | PA | THREE RIVERS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD062097L | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M. Javad Saadat, MD, PC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
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.
-
- Gastroenterology Physician
- Somerset, PA
- NPI 1982798898
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1942200670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W CHURCH STREET",
"address_2": "SUITE 1",
"city": "SOMERSET",
"state": "PA",
"postal_code": "155012251",
"telephone_number": "814-445-3812",
"fax_number": "814-444-1852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W. CHURCH STREET",
"address_2": "SUITE 1",
"city": "SOMERSET",
"state": "PA",
"postal_code": "155012251",
"telephone_number": "814-445-3812",
"fax_number": "814-444-1852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSANI",
"first_name": "FARIBA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2011-04-05",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD062097L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166984301",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/SHIELD",
"identifier": "122808",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1526315",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "922532",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110175670",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "PC854595",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "094423",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH PLAN",
"identifier": "204916",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1502227",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS HEALTH PLAN",
"identifier": "76478",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.