DR. MOHAMMAD FAROOQUE M.D., PH.D.
NPI 1730100587
Psychiatry & Neurology - Psychiatry in Jacksonville, FL

Q: What is Mohammad Farooque's NPI number?

The NPI number for Mohammad Farooque is 1730100587. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Mohammad Farooque's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Mohammad Farooque was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment

10175 FORTUNE PKWY, SUITE #1106, JACKSONVILLE, FL 32256(904) 379-5928(904) 379-5967 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mohammad Farooque M.d., Ph.d. NPPES

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

DR. MOHAMMAD FAROOQUE M.D., PH.D. (NPI 1730100587) is an individual psychiatry provider in Jacksonville, Florida, licensed in Florida (ME100550) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1730100587

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. MOHAMMAD FAROOQUECredential: M.D., PH.D.

Location Address10175 FORTUNE PKWY, SUITE #1106Jacksonville, FL 32256-6746

Mailing Address10175 Fortune Pkwy, Suite #1106Jacksonville, FL 32256-6746 · (904) 379-5928 · Fax (904) 379-5967

Phone(904) 379-5928

Fax(904) 379-5967

Sole ProprietorYes

Medical School CMSOtherGraduated 1984

Enumeration DateJuly 21, 2006

Last NPPES UpdateMarch 18, 2014

✔ NPI 1730100587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in FL · ME100550

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2005013889 (MO)

10175 FORTUNE PKWY, Jacksonville, FL 32256

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Other Identifiers 7

Medicare PINP00800889FL

Medicaid0011903-00FL

Medicaid565587892AGA

Medicare PINCA696ZFL

Medicare PINCA696

Other1455PFL · Bcbs

Medicare PINCA696YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mohammad Farooque M.d., Ph.d. 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 ID8729132451

PECOS Enrollment IDI20090814000547

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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

378 services52 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

16 services12 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ASHLEY JENKINS MSW, RCSWI, CPT

Technician, Pathology (Phlebotomy)

10175 FORTUNE PKWY, STE 1003 PMB-1008
JACKSONVILLE, FL 32256

Duval County (850) 556-5646

XIAOLU LUO A. P., D.O.M

Acupuncturist

10175 FORTUNE PKWY, UNIT 304
JACKSONVILLE, FL 32256

Duval County (904) 880-1889

LODS VOLCY QASP

Behavior Analyst