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Deactivated NPI 1235116567 Deactivated / Inactive NPI Male Practitioner

Dr. Omar Faruk , MD

Internal Medicine • Springfield, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Omar Faruk has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 28, 2005
NPI Deactivation Date February 20, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Omar Faruk, MD was a registered Internal Medicine practicing in Springfield, MA. Throughout an active medical career spanning 20 years, Dr. Faruk provided care at the practice location at 125 LIBERTY ST 205 until profile deactivation on 2025-02-20.

Historical Medicare Part B clinical services included established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

125 Liberty St 205

Springfield, MA 011031109

Telephone 4132717136
Associated Practice Facility / Clinic
🏢 Right Choice Health Group Llc Facility NPI 1457729741

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 29.3 Yrs
Regional Practice Density
289 Specialists

Practicing in Springfield, MA (7127 Statewide)

Telehealth Adoption Rate
16.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
268 23 $167.00 $107.87
80307 Testing for presence of drug, by chemistry analyzers
204 24 $120.00 $64.56
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
190 20 $233.70 $110.07

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 223674

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Kelly Hayward , FNP-BC

Nurse Practitioner

NPI 1275186041

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated February 20, 2025

Record deactivated on February 20, 2025

NPI Profile Active March 13, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 13, 2017

Registered at 125 LIBERTY ST 205, SPRINGFIELD, MA 011031109 (Tel: 4132717136)

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Updated Business Mailing Address March 13, 2017

Registered at 125 LIBERTY ST 205, SPRINGFIELD, MA 011031109 (Tel: 4132717136)

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Provider Name / Credentials Updated March 13, 2017

Recorded as OMAR FARUK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2017

Internal Medicine (License #223674 in MA)

NPI Profile Active November 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2015

Registered at 125 LIBERTY ST 205, SPRINGFIELD, MA 011031109 (Tel: 4132717136)

📍
Updated Business Mailing Address November 23, 2015

Registered at 125 LIBERTY ST 205, SPRINGFIELD, MA 011031109 (Tel: 4132717136)

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Provider Name / Credentials Updated November 23, 2015

Recorded as OMAR FARUK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2015

Internal Medicine (License #223674 in MA)

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Initial NPI Registration & Enumeration December 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235116567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2005
Last Update: November 23, 2015
Deactivation Date: February 20, 2025

Mailing Address

125 Liberty St 205

Springfield, MA 011031109

Phone: 4132717136

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.