Nishaat Farooqui, MD in Mishawaka, IN

Nishaat Farooqui, MD is a medicare enrolled "Pediatrics" physician in Mishawaka, Indiana. Her current practice location is 611 E Douglas Rd Ste 401, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 335-6242.

Nishaat Farooqui is licensed to practice in Indiana (license number 01086445A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184128498.

Contact Information

	Nishaat Farooqui, MD
	611 E Douglas Rd Ste 401, Mishawaka, IN 46545-1468
	(574) 335-6242
	Not Available

Map and Direction

Physician's Profile

Full Name	Nishaat Farooqui
Gender	Female
Speciality	Pediatrics
Location	611 E Douglas Rd Ste 401, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184128498
Provider Enumeration Date: 03/21/2018
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 9436406774
Enrollment ID: I20240205003485

Medical Identifiers

Medical identifiers for Nishaat Farooqui such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184128498	NPI	-	NPPES
300054073	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01086445A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nishaat Farooqui allows following entities to bill medicare on her behalf.

Entity Name	Primary Healthcare Associates Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467442293 PECOS PAC ID: 4688635337 Enrollment ID: O20041026000077

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nishaat Farooqui is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nishaat Farooqui, MD 707 Cedar St Ste 200, South Bend, IN 46617-2057 Ph: (574) 335-8707	Nishaat Farooqui, MD 611 E Douglas Rd Ste 401, Mishawaka, IN 46545-1468 Ph: (574) 335-6242

Reviews and Comments

Pediatrics Doctors in Mishawaka, IN

Dr. Muhammad Shahzad Mumtaz Ansari, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-4145 Fax: 574-335-4146
Marybeth Francis Mcclure, D0 Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincoln Way W, Mishawaka, IN 46544 Phone: 574-259-5666
Dr. Franklin Moncrief Dobson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Parkway, Mishawaka, IN 46545 Phone: 574-335-2309 Fax: 574-335-4146
Maryjo Meier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 E Douglas Rd Ste 401, Mishawaka, IN 46545 Phone: 574-335-6242 Fax: 574-335-0758
Ismail Abbasi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mary Evelyn Graber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 E Douglas, Suite 309, Mishawaka, IN 46545 Phone: 574-252-2640 Fax: 574-252-2650

Nishaat Farooqui, MD - Medicare Pediatrics in Mishawaka, IN