FAREED CLINIC, PLLC
NPI 1649995317
Clinic/Center - Primary Care in Plymouth, MN
About Fareed Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAREED CLINIC, PLLC (NPI 1649995317) is a healthcare organization registered as a primary care in Plymouth, Minnesota and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Maple Grove and lists Mohammad Tariq Fareed, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fareed Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Fareed Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fareed Clinic, PLLC's NPI number?
The NPI number for Fareed Clinic, PLLC is 1649995317. It was assigned to this organization in the NPPES registry on October 5, 2022.
Where is Fareed Clinic, PLLC located?
Fareed Clinic, PLLC is located at 3455 Plymouth Blvd Ste 202, Plymouth, MN 55447. The listed phone number is (952) 250-9931.
What is Fareed Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Fareed Clinic, PLLC enrolled in Medicare?
Yes. Fareed Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fareed Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Fareed Clinic, PLLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fareed Clinic, PLLC was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Fareed Clinic, Pllc · NPI 1649995317
Primary Care organization in Plymouth, Minnesota. Organization record, active in the CMS NPPES registry since October 5, 2022.
## Identity
- **NPI:** 1649995317 (Entity type: Organization)
- **Enumerated:** October 5, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Fareed Clinic, PLLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mohammad Fareed, PHYSICIAN OWNER
## Practice location
- **Address:** 3455 PLYMOUTH BLVD STE 202, Plymouth, MN 55447-1540
- **Phone:** (952) 250-9931
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1649995317) · Data from the CMS NPPES public registry.