DR. RUBAIYA FARUQUE – Family Medicine Physician, NPI 1184204281

DR. RUBAIYA FARUQUE is a healthcare provider. based in Fort gratiot, Michigan. specializing in FAMILY PRACTICE. They hold a License No. 5101028118 (MI). The NPI Number for DR. RUBAIYA FARUQUE is 1184204281

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUBAIYA FARUQUE
NPI
1184204281
Phone
(810) 216-4400
Address
4190 24TH AVE STE 208
Enumeration Date
12 April 2021
Last Update Date
20 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8102164000
Graduation Year
2021 (5 years ago)
PAC ID
5395276463
Group Practice PAC ID
0840507802
Professional Enrollment ID
I20240930002884
Address ID
MI480593884FO4190XAVEX305
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for DR. RUBAIYA FARUQUE

  • 4190 24TH AVE STE 208

    FORT GRATIOT, MI 480593884

    Phone: (810) 216-4400

    Type: Mailing

  • 71 HAYNES ST

    MANCHESTER, CT 060404131

    Phone: (860) 533-4679

    Fax: (860) 645-4151

    Type: Mailing

  • 130 HARTFORD RD

    MANCHESTER, CT 060405921

    Phone: (860) 533-4679

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Myriad Women's Health, Inc. ($37).

Total Amount

$37

General + Research + Ownership

Payments

1

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-09-30

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
I20240930002884IFamily PracticeMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48059)

Loading plans...

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: 0840507802View full group profile
NameSpecialtyState
General SurgeryMI
Family PracticeMI
Nurse PractitionerMI
-MI
Internal MedicineMI
U R O L O G YMI
General SurgeryMI
Nurse PractitionerIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. RUBAIYA FARUQUE?
NPI 1184204281 is assigned to DR. RUBAIYA FARUQUE under the national enumeration system.
Does this profile mean DR. RUBAIYA FARUQUE is currently active?
Yes — DR. RUBAIYA FARUQUE appears active in the national provider directory.
Does DR. RUBAIYA FARUQUE list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. RUBAIYA FARUQUE. Clinical services aligned with this taxonomy classification.
Where does public data place DR. RUBAIYA FARUQUE?
The snapshot lists Fort Gratiot, Michigan for DR. RUBAIYA FARUQUE; download NPPES for the complete set.
Is DR. RUBAIYA FARUQUE a real provider?
This page reflects official NPPES data for NPI 1184204281. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

DR. G BLAIR III DOWDEN (M.D.)

Family Medicine Physician
24th Avenue, Port Huron, Fort Gratiot Township, Saint Clair County, Michigan, 48059, United States
NPI: 1750379194

LAVI ROHATGI (M.D.)

Family Medicine Physician
PO BOX 610669
NPI: 1700862935

FARRUKH ZAMAN NAQVI (M.D.)

Family Medicine Physician
24th Avenue, Port Huron, Fort Gratiot Township, Saint Clair County, Michigan, 48059, United States
NPI: 1053399642

CHRISTOPHER J BORGIEL (M.D.)

Family Medicine Physician
4190, 24th Avenue, Fort Gratiot Township, Saint Clair County, Michigan, 48059, United States
NPI: 1316914245
3903, Stoney Ridge Drive, Fort Gratiot Charter Township, Saint Clair County, Michigan, 48059, United States
NPI: 1437125473

ANNETTE SASSIN GILMER (M.D.)

Family Medicine Physician
3050, Commerce Drive, Fort Gratiot Charter Township, Saint Clair County, Michigan, 48059, United States
NPI: 1861468845

GEORGE F DIEHL (M.D.)

Family Medicine Physician
3050, Commerce Drive, Fort Gratiot Charter Township, Saint Clair County, Michigan, 48059, United States
NPI: 1538135405

DANIEL C SOUPHIS (D.O.)

Family Medicine Physician
4190, 24th Avenue, Fort Gratiot Township, Saint Clair County, Michigan, 48059, United States
NPI: 1225004252

KRISTINA PAMUKOV (D.O.)

Family Medicine Physician
3050, Commerce Drive, Fort Gratiot Charter Township, Saint Clair County, Michigan, 48059, United States
NPI: 1518933514