Liban Farah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

56541 Issued in WI

Practice address

1100 Bergslien St
Baldwin, WI 54002-2600

Phone

(715) 684-1111

Fax

(715) 694-1119

NPI assigned

Jun 8, 2011

Last updated

Mar 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

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 2

Specialty

Family Practice

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Baldwin Area Medical Center IncGroup PAC ID 7911800586, 88 clinicians

Spooner Health System IncGroup PAC ID 2062310287, 10 clinicians

Mille Lacs Health SystemGroup PAC ID 4789577834, 47 clinicians

St Francis Regional Medical CenterGroup PAC ID 7214821909, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Wisconsin Health Hospital, Baldwin, WI, CCN 521347
• Mille Lacs Health System Hospital, Onamia, MN, CCN 241356
• Spooner Health System Hospital, Spooner, WI, CCN 521332
• Western Wisconsin Health Nursing home, CCN 52Z347
• Mille Lacs Health System Nursing home, CCN 24Z356

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lfarah224562@excellian.direct.allina.com
• Direct secure messaging: lfarah275794@direct.centracare.com

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.

• Baldwin Area Medical Center, Inc.

  dba Western Wisconsin Health

  • Critical Access Hospital
  • Baldwin, WI
  • NPI 1467496133
  Medicare reassignment Care Compare group NPD
• Spooner Health System, Inc.

  • Critical Access Hospital
  • Spooner, WI
  • NPI 1518982628
  Medicare reassignment Care Compare group NPD
• Mille Lacs Health System

  dba Critical Access Hospital

  • Critical Access Hospital
  • Onamia, MN
  • NPI 1548212699
  Medicare reassignment Care Compare group NPD
• St. Francis Regional Medical Center

  dba St. Francis Urgent Care - Southbridge

  • Urgent Care Clinic/Center
  • Shakopee, MN
  • NPI 1447605514
  Medicare reassignment Care Compare group NPD
• Centracare Health System - Melrose

  dba CentraCare Health - Melrose Hospital

  • Critical Access Hospital
  • Melrose, MN
  • NPI 1720045073
  Medicare reassignment NPD
• Perham Hospital District

  dba Perham Health

  • Chiropractor
  • Perham, MN
  • NPI 1932113768
  Medicare reassignment NPD
• Oasis Child Development Center Inc

  • Early Intervention Provider Agency
  • Minneapolis, MN
  • NPI 1124614698
  NPD Authorized official
• Astera Health

  dba Tri- County Health Care

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333
  Medicare reassignment
• CCM Health

  • Critical Access Hospital
  • Montevideo, MN
  • NPI 1720086028
  Medicare reassignment
• Baldwin Area Medical Center Inc.

  dba Western Wisconsin Health Spring Valley Clinic

  • Clinic/Center
  • Spring Valley, WI
  • NPI 1164272324
  NPD
• Baldwin Area Medical Center, Inc.

  dba Western Wisconsin Health

  • Rural Health Clinic/Center
  • Baldwin, WI
  • NPI 1336228865
  NPD
• Mille Lacs Health System

  dba Mille Lacs Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Onamia, MN
  • NPI 1265695761
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baldwin Area Medical Center, Inc.

  dba Western Wisconsin Health

  • Critical Access Hospital
  • Baldwin, WI
  • NPI 1467496133
  Care Compare affiliation
• Spooner Health System, Inc.

  • Critical Access Hospital
  • Spooner, WI
  • NPI 1518982628
  Care Compare affiliation
• Mille Lacs Health System

  dba Mille Lacs Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Onamia, MN
  • NPI 1265695761

  Nursing home

  Care Compare affiliation
• Mille Lacs Health System

  dba Critical Access Hospital

  • Critical Access Hospital
  • Onamia, MN
  • NPI 1548212699
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1962796862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BERGSLIEN ST",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540022600",
            "telephone_number": "715-684-1111",
            "fax_number": "715-684-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BERGSLIEN ST",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540022600",
            "telephone_number": "715-684-1111",
            "fax_number": "715-694-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3024 Snelling Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554061911",
            "country_code": "US",
            "telephone_number": "612-775-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAH",
        "first_name": "LIBAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "56541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Scott Dahlberg, M.D.
• Veronica Devlin, RPH
• Douglas D Podoll DDS SC
• Michael Lee Douglas, M.D.
• Donna L. Elenkiwich, MA, LPC
• Thomas G Field, MD
• Kathleen E Findlay, MD, MPH
• Forge Chiropractic
• Jana Lynne Gegen, APRN
• Grace Home Respiratory Inc

• Family Medicine Physician in Baldwin, WI
• Providers in Baldwin, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.
• 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.

Verify at the official NPI Registry.