Individual provider Active NPI

Sana Farooki, M.D

  • Pediatric Hematology & Oncology Physician
  • Charleston, WV
National Provider Identifier
1962844035
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
27565 Issued in WV
Practice address
830 Pennsylvania Ave Ste 103
Charleston, WV 25302-3389
Phone
(304) 388-1552
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 303662 NY
Pediatric Hematology & Oncology Physician 2080P0207X 27565 WV Primary
Internal Medicine Physician 207R00000X 303662 NY

Addresses

Primary practice location

830 Pennsylvania Ave Ste 103
Charleston, WV 25302-3389

Mailing address

830 Pennsylvania Ave Ste 103
Charleston, WV 25302-3389

Other practice location 1

3110 MacCorkle Ave SE
Charleston, WV 25304-1210
Phone (304) 388-2525

Other practice location 2

1275 York Ave # Howard14
New York, NY 10065-6007
Phone (212) 639-5966

Other practice location 3

830 Pennsylvania Ave Ste 408
Charleston, WV 25302-3390
Phone (304) 388-1552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20210722003502 WV Practitioner - Hematology/Oncology 1658507108 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303662NYMDPediatric Hematology & Oncology Physician
27565WVMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Sep 1, 2021 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

830 Pennsylvania Ave
Ste 408
Charleston, WV 25302
Phone (304) 342-7780

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

830 Pennsylvania Ave
Ste 103
Charleston, WV 25302
Phone (304) 388-2525

3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Organizations & group practices 4

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1962844035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE STE 103",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE STE 103",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023389",
            "telephone_number": "304-388-1552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041210",
            "country_code": "US",
            "telephone_number": "304-388-2525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 York Ave # Howard14",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100656007",
            "country_code": "US",
            "telephone_number": "212-639-5966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Pennsylvania Ave Ste 408",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253023390",
            "country_code": "US",
            "telephone_number": "304-388-1552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOKI",
        "first_name": "SANA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "303662",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "WV",
            "license": "27565",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "303662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.