Active NPI
Edward F Fara, MD
- Pulmonary Disease Physician
- Munster, IN
National Provider Identifier
1942260039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 01033200
- Practice address
- 761 45TH Ave
Ste 108
Munster, IN 46321-2893 - Phone
- (219) 922-5416
- Fax
- (219) 922-3745
- NPI assigned
- Mar 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 01033200 | IN | Primary |
Addresses
Primary practice location
761 45TH Ave
Ste 108
Munster, IN 46321-2893
Mailing address
1040 Sierra Dr
Suite 400
Greenwood, IN 46143-7240
Phone (317) 528-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M147140052 | Other | IN | MEDICARE PTAN |
| 100361870 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | efara64120@Direct.FranciscanAlliance.org | Direct |
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 |
|---|---|---|---|
| 01033200 | IN | MD | Pulmonary Disease Physician |
Interoperability endpoints
- efara64120@direct.franciscanalliance.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1942260039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SIERRA DR",
"address_2": "SUITE 400",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437240",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 45TH AVE",
"address_2": "STE 108",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212893",
"telephone_number": "219-922-5416",
"fax_number": "219-922-3745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARA",
"first_name": "EDWARD",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01033200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M147140052",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100361870",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "efara64120@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "761 45th Ave",
"address_2": "Ste 108",
"city": "Munster",
"state": "IN",
"country_code": "US",
"postal_code": "463212893",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.