DR. RIDWAN NAIM FARUQ (MD) – Infectious Disease Physician, NPI 1639708431

DR. RIDWAN NAIM FARUQ (MD) is a healthcare provider. based in Mansfield, Texas. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. V6013 (TX). The NPI Number for DR. RIDWAN NAIM FARUQ (MD) is 1639708431

Main info

Male
11 Years Of Experience
Name
DR. RIDWAN NAIM FARUQ (MD)
NPI
1639708431
Phone
(817) 539-9091
Address
350 MATLOCK RD STE 201
Enumeration Date
3 April 2020
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175399091
Graduation Year
2015 (11 years ago)
PAC ID
0547685208
Group Practice PAC ID
0042593121
Professional Enrollment ID
I20250312003008
Address ID
TX760142085AR515XXRDXX489
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

674 INFECTIOUS DISEASE in TX

Provider Addresses for DR. RIDWAN NAIM FARUQ (MD)

  • 350 MATLOCK RD STE 201

    MANSFIELD, TX 760636889

    Phone: (817) 539-9091

    Fax: (817) 539-9553

    Type: Mailing

  • 515 W Mayfield Rd Ste 404

    Arlington, TX 760142085

    Phone: (817) 539-9091

    Fax: (817) 539-9553

    Type: Location

  • 267 GRANT ST

    BRIDGEPORT, CT 066102870

    Phone: (203) 384-3792

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-03-12

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
I20250312003008IInfectious DiseaseTXTBD

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 76063)

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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: 0042593121View full group profile
NameSpecialtyState
Internal Medicine, Infectious DiseaseTX
Infectious Disease, Internal MedicineTX
Nurse PractitionerTX
Infectious Disease, Internal MedicinePA
Infectious Disease, Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is there an official ID for DR. RIDWAN NAIM FARUQ (MD) in U.S. healthcare records?
The official identifier for DR. RIDWAN NAIM FARUQ (MD) is NPI 1639708431.
Is DR. RIDWAN NAIM FARUQ (MD) shown as active in public data?
Registry records indicate DR. RIDWAN NAIM FARUQ (MD) maintains an active NPI.
What expertise is attributed to DR. RIDWAN NAIM FARUQ (MD)?
DR. RIDWAN NAIM FARUQ (MD)'s specialty line reads Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is DR. RIDWAN NAIM FARUQ (MD) registered?
Use Mansfield, Texas as the headline location for DR. RIDWAN NAIM FARUQ (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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