FHARAK MAA CHIP (M.D.) – Nephrology Physician, NPI 1245518414

FHARAK MAA CHIP (M.D.) is a healthcare provider. based in San diego, California. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A117604 (CA). The NPI Number for FHARAK MAA CHIP (M.D.) is 1245518414

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
FHARAK MAA CHIP (M.D.)
NPI
1245518414
Phone
(858) 810-8000
Address
9610 GRANITE RIDGE DR
Enumeration Date
21 July 2011
Last Update Date
26 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6194271144
Graduation Year
2005 (21 years ago)
PAC ID
3274703103
Group Practice PAC ID
9638164015
Professional Enrollment ID
I20110831000582
Address ID
CA919104304CH416XXBROA200
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,404 NEPHROLOGY in CA

Provider Addresses for FHARAK MAA CHIP (M.D.)

  • 9610 GRANITE RIDGE DR

    SUITE B

    SAN DIEGO, CA 921232684

    Phone: (858) 810-8000

    Fax: (858) 268-1911

    Type: Mailing

  • 655 EUCLID AVE

    SUITE 303

    NATIONAL CITY, CA 919502957

    Phone: (619) 475-4900

    Fax: (619) 475-8373

    Type: Location

  • 4225 EXECUTIVE SQ STE 450

    LA JOLLA, CA 920378411

    Phone: (858) 810-8025

    Fax: (858) 268-1911

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $953.

Total Amount is formed as General ($953) + Research ($0) + Ownership ($0) = $953.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($356).

Total Amount

$953

General + Research + Ownership

Payments

12

Total payment records

General Amount

$953

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110831000582INephrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90960Dialysis services, 4 or more physician visits per month (20 years or older)47168$0
99214Established patient office or other outpatient visit, 30-39 minutes277130$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes19366$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12035$0
90935Hemodialysis procedure with physician evaluation10237$0
View full utilization report →

Insurance plans in this area (ZIP 92123)

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Provider's Procedures

FHARAK MAA CHIP (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYCA90935Hemodialysis procedure with one physician evaluation15964
NEPHROLOGYCA90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older8746

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638164015View full group profile
NameSpecialtyState
Nephrology, Internal MedicineCA
-CA
Nephrology, Internal MedicineCA
Nephrology, Internal MedicineCA
N E P H R O L O G YCA
Nephrology, Internal MedicineCA
Vascular Surgery, Emergency MedicineCA
-CA
Nurse PractitionerCA
Nephrology, Internal MedicineCA

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Frequently asked questions

What is the 10-digit NPI for FHARAK MAA CHIP (M.D.)?
FHARAK MAA CHIP (M.D.) — NPI 1245518414 — is the standard way to identify this listing.
Does CMS list FHARAK MAA CHIP (M.D.) as active?
Yes — FHARAK MAA CHIP (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes FHARAK MAA CHIP (M.D.)?
For research purposes, treat FHARAK MAA CHIP (M.D.) as Nephrology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect FHARAK MAA CHIP (M.D.) on a map?
Expect San Diego, California as a primary anchor for FHARAK MAA CHIP (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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