UMER FAROOQ MD
NPI 1568975977
Family Medicine - Addiction Medicine in Wilmington, DE

Active since November 07, 2017PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
501 W 14TH ST STE 1E40, WILMINGTON, DE 19801(302) 320-2100(302) 320-2121 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2025, Oct 5, 2023, May 8, 2023 and 3 more (6 updates tracked since 2017).

About Umer Farooq Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UMER FAROOQ MD (NPI 1568975977) is an individual addiction medicine provider in Wilmington, Delaware, licensed in Delaware (C1-0028390) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568975977
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameUMER FAROOQCredential: MD
Location Address501 W 14TH ST STE 1E40Wilmington, DE 19801-1013
Mailing Address501 W 14th St Ste 1e40Wilmington, DE 19801-1013 · (302) 320-2100 · Fax (302) 320-2121
Fax(302) 320-2121
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 7, 2017
Last NPPES UpdateAugust 5, 20256 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1568975977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Licenses✔ Licensed in DE · C1-0028390✔ Licensed in MD · D0095315✔ Licensed in PA · MD479418
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License D0095315 (MD), LL82578 (SC), MD479418 (PA)
501 W 14TH ST STE 1E40, Wilmington, DE 19801

Secondary Practice Locations 2

Location 11110 Annapolis RdOdenton, MD 21113-1602 · Phone (443) 351-3917
Location 2300 Highland AveHanover, PA 17331-2297 · Phone (717) 316-3711

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Umer Farooq Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931430519
PECOS Enrollment IDI20220928001266, I20221117000305, I20250819003052
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Umer Farooq reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interventional Cardiology
501 W 14TH ST
Wilmington, DE 19801
  • Reassigned Medicare billing, Delaware enrollment
  • 1,531 clinicians in this Medicare group
Urology
137 W HIGH ST STE 2B
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland enrollment
  • 512 clinicians in this Medicare group
Hospitalist
501 S UNION AVE
Havre De Grace, MD 21078
  • Reassigned Medicare billing, Maryland enrollment
  • 102 clinicians in this Medicare group
Hospitalist
660 MCHENRY RD
Aberdeen, MD 21001
  • Reassigned Medicare billing, Maryland enrollment
  • 97 clinicians in this Medicare group
Hospitalist
500 UPPER CHESAPEAKE DR
Bel Air, MD 21014
  • Reassigned Medicare billing, Maryland enrollment
  • 84 clinicians in this Medicare group
Hospitalist
301 HOSPITAL DR
Glen Burnie, MD 21061
  • Reassigned Medicare billing, Maryland enrollment
  • 67 clinicians in this Medicare group
Hospitalist
4300 LONDONDERRY RD
Harrisburg, PA 17109
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 322 clinicians in this Medicare group
Family Medicine
8206 GEORGIA AVE
Silver Spring, MD 20910
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1205087517 (Maryland)
  • 184 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
793 services319 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
189 services185 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
131 services56 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
82 services80 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Umd Upper Chesapeake Medical Center

Acute Care Hospitals · Bel Air, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210049
Location500 Upper Chesapeake DriveBel Air, MD 21014 · Harford County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
501 W 14TH ST STE 1E40
WILMINGTON, DE 19801
Internal Medicine (Addiction Medicine)
501 W 14TH ST STE 1E40
WILMINGTON, DE 19801
Psychiatry & Neurology (Psychiatry)
501 W 14TH ST STE 1E40
WILMINGTON, DE 19801
Nurse Practitioner
501 W 14TH ST STE 1E40
WILMINGTON, DE 19801
Psychologist (Clinical)
501 W 14TH ST STE 1E40
WILMINGTON, DE 19801
Social Worker (Clinical)
501 W 14TH ST STE 1E40
WILMINGTON, DE 19801
Psychiatry & Neurology (Psychiatry)
501 W 14TH ST STE 1E40
WILMINGTON, DE 19801
Psychiatry & Neurology (Psychiatry)
501 W 14TH ST STE 1E40
WILMINGTON, DE 19801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Umer Farooq's NPI number?

The NPI number for Umer Farooq is 1568975977. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Where is Umer Farooq located?

Umer Farooq practices at 501 W 14th St Ste 1e40, Wilmington, DE 19801. The listed phone number is (302) 320-2100.

What is Umer Farooq's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Umer Farooq enrolled in Medicare?

Yes. Umer Farooq is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Umer Farooq's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Umer Farooq reassigns Medicare benefits to 8 organizations: Christiana Care Health Services, Inc (Wilmington, DE), Union Hospital Of Cecil County, Inc. (Elkton, MD), Adfinitas Health At Upper Chesapeake Harford Memorial LLC (Havre De Grace, MD), Adfinitas Health At Upper Chesapeake Aberdeen LLC (Aberdeen, MD), Adfinitas Health At Upper Chesapeake, LLC (Bel Air, MD) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Umer Farooq's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Umer Farooq accept?

Health plans from AmeriHealth Caritas Next list Umer Farooq as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Umer Farooq affiliated with any hospitals?

According to CMS data, Umer Farooq is affiliated with University Of MD Baltimore Washington Medical Center, Umd Upper Chesapeake Medical Center and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Umer Farooq was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.