Active NPI
Sana Farooki, M.D
- Pediatric Hematology & Oncology Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 27565
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303662 | NY | MD | Pediatric Hematology & Oncology Physician |
| 27565 | WV | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | 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.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.