Individual provider Active NPI

Douglas Fauser, MD

  • Specialist
  • Carmel, NY
National Provider Identifier
1083645386
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
159805 Issued in NY
Practice address
664 Stoneleigh Ave. Suite 300
Carmel, NY 10512
Phone
(845) 278-8400
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 159805 NY Primary
Specialist 174400000X 29699 CT

Addresses

Primary practice location

664 Stoneleigh Ave. Suite 300
Carmel, NY 10512

Mailing address

664 Stoneleigh Ave
Carmel, NY 10512-3940
Phone (845) 278-8400

Other practice location 1

40 Old Ridgebury Rd Ste 201
Danbury, CT 06810-5119
Phone (845) 278-8400

Other identifiers 3

IdentifierTypeStateIssuer
P00017644OtherRAILROAD MEDICARE
4682510001OtherNYMEDICARE
200045547OtherNYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040629001496 NY Practitioner - Orthopedic Surgery 1557347408 Reassigns benefits to 1 organization
I20190329001573 CT Practitioner - Orthopedic Surgery 1557347408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Somers Orthopaedic Surgery and Sports Medicine Group PLLCGroup PAC ID 9638061674, shared by 5 NPIs, 29 clinicians

Practice addresses (Care Compare)

40 Old Ridgebury Rd
Suite 101
Danbury, CT 06810-5123
Phone (203) 397-6872

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3990
Phone (845) 278-8400

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Health Quest Home Care, Inc (Certified) Chha Home health agency, Poughkeepsie, NY, CCN 337230
  • Evercare at Home Home health agency, Newburgh, NY, CCN 337454
  • VNS Westchester Chha Home health agency, White Plains, NY, CCN 337146
  • Willcare Chha (Newburgh) Home health agency, Newburgh, NY, CCN 337408
  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273

Merit-based Incentive Payment System (MIPS)

Final score
48.77 of 100Reported as group
Quality
35.11
Improvement activities
30
Cost
60.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement33
Knee replacement58
Lower limb (leg) arthroscopy (minimally invasive joint repair)15
Upper limb (arm) arthroscopy (minimally invasive joint repair)28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29699CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC CurrentSince Mar 26, 2001 Accepting new patients
Orthopaedic Specialty Surgery Center LLC Current Accepting new patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC CurrentSince Mar 26, 2001 Accepting new patients

Locations

40 Old Ridgebury Rd
Ste 101
Danbury, CT 06810
Phone (203) 397-6872

40 Old Ridgebury Rd
Ste 201
Danbury, CT 06810
Phone (203) 205-2840

664 Stoneleigh Ave
Ste 300
Carmel, NY 10512
Phone 8452788400114

400 Westage Business Ctr Dr
Ste 106
Fishkill, NY 12524
Phone (845) 227-2228

657 E Main St
Ste 3
Mount Kisco, NY 10549
Phone (914) 471-4777

400 E Main St
Ste 1W
Mount Kisco, NY 10549
Phone (914) 242-8343

2 Victory Ct
Newburgh, NY 12550
Phone (845) 522-5480

Interoperability endpoints

  • Direct secure messaging: dfauser@direct.health-quest.org
  • Direct secure messaging: douglas.fauser.1@20311.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1083645386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123940",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE. SUITE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "10512",
            "telephone_number": "845-278-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Old Ridgebury Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068105119",
            "country_code": "US",
            "telephone_number": "845-278-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUSER",
        "first_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "159805",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "29699",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00017644",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "4682510001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200045547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.