Individual provider Active NPI

Jamal D. Farhan, M.D.

  • Specialist
  • Flint, MI
National Provider Identifier
1982633707
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301068989 Issued in MI
Practice address
1020 Charter Dr
Suite a
Flint, MI 48532-3584
Phone
(810) 720-0368
Fax
(810) 720-0371
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 4301068989 MI
Specialist 174400000X 4301068989 MI Primary

Addresses

Primary practice location

1020 Charter Dr
Suite a
Flint, MI 48532-3584

Mailing address

1020 Charter Dr
Suite a
Flint, MI 48532-3584
Phone (810) 720-0368

Other identifiers 2

IdentifierTypeStateIssuer
3314472MedicaidMI
0B56029OtherMIBLUE SHIELD OF MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070417000606 MI Practitioner - General SurgeryPractitioner - Hand Surgery 7113022336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Hand Surgery
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians

Practice addresses (Care Compare)

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley PLZ
Flint, MI 48503-5902

1020 Charter Dr
Suite a
Flint, MI 48532-3584
Phone (810) 720-0366

6140 Rashelle Dr
Flint, MI 48507-3936
Phone (810) 262-2330

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • Hurley Medical Center Hospital, Flint, MI, CCN 230132

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jamal D Farhan, M.D., P.C. Surgical Critical Care CurrentSince Sep 10, 2019 Accepting new patients
Hurley Medical Center CurrentSince Sep 1, 1996 Accepting new patients
Hurley Medical Center Surgery CurrentSince Sep 1, 1996 Accepting new patients
Hurley Medical Center Current Accepting new patients
McLaren Flint Past Accepting new patients
Flint Surgical Specialists, P.C. Specialist Past Accepting new patients
Hurley Medical Center Past Accepting new patients
Flint Emergent Surgical Services Surgery Past Accepting new patients
Hurley Medical Center Past Accepting new patients

Locations

1020 Charter Dr
Ste A
Flint, MI 48532
Phone (810) 720-0368

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

6140 Rashelle Dr
Flint, MI 48507
Phone (810) 262-2330

2700 Robert T Longway Blvd
Ste H
Flint, MI 48503
Phone (810) 235-1746

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIFBCA/Endpoint/AIFBCA
  • Direct secure messaging: jfarhan1744@direct.hurleymc.com
  • Direct secure messaging: jamal.farhan@fsg.eclinicaldirectplus.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1982633707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CHARTER DR",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323584",
            "telephone_number": "810-720-0368",
            "fax_number": "810-720-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CHARTER DR",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323584",
            "telephone_number": "810-720-0368",
            "fax_number": "810-720-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHAN",
        "first_name": "JAMAL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "4301068989",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301068989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3314472",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MI",
            "identifier": "0B56029",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.