Jafary Fafara, MD
Internal Medicine in Minneapolis, MN. Individual provider (NPI-1).
NPI number1346700564
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1346700564
- Entity type
- Individual (NPI-1)
- Name
- Jafary Fafara
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2019
- Certification date
- Nov 7, 2022
- Last updated
- Nov 7, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MED-RES-LIC-77255 | MT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2925 Chicago AveMinneapolis, MN 55407-1321
Phone 612-863-4000
Mailing address
2925 Chicago AveMinneapolis, MN 55407-1321
Phone 612-262-9000
Other practice locations
801 N 29th St
Billings, MT 59101-0905
Billings, MT 59101-0905
Phone 406-238-2500
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