Active NPI
Gregory J Faust, M.D.
- Specialist
- Springfield, MA
National Provider Identifier
1164417929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 73286
- Practice address
- 3640 Main St
Suite 205
Springfield, MA 01107-1145 - Phone
- (413) 739-7367
- Fax
- (413) 737-2686
- NPI assigned
- Sep 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 73286 | MA | Primary |
Addresses
Primary practice location
3640 Main St
Suite 205
Springfield, MA 01107-1145
Mailing address
3640 Main St
Suite 205
Springfield, MA 01107-1145
Phone (413) 739-7367
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0115328 | Other | MA | AETNA GROUP NO. |
| 073286 | Other | MA | CONNECTICARE |
| 12304 | Other | MA | HEALTH NEW ENGLAND |
| 150662 | Other | MA | HARVARD PILGRIM |
| 180022615 | Other | MA | RAILROAD MEDICARE |
| 0404677003 | Other | MA | CIGNA |
| 073286 | Other | MA | TUFTS |
| J10344 | Other | MA | MA BLUE SHIELD |
| 010073286MA01 | Other | MA | CONNECTICUT BLUE SHIELD |
| 0804433 | Other | MA | UNITED HEALTH CARE |
| P1503588 | Other | MA | OXFORD HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73286 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400803200000",
"number": "1164417929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 MAIN ST",
"address_2": "SUITE 205",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071145",
"telephone_number": "413-739-7367",
"fax_number": "413-737-2686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 MAIN ST",
"address_2": "SUITE 205",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071145",
"telephone_number": "413-739-7367",
"fax_number": "413-737-2686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "GREGORY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2014-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "73286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP NO.",
"identifier": "0115328",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "073286",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "12304",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "150662",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180022615",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0404677003",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "073286",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA BLUE SHIELD",
"identifier": "J10344",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICUT BLUE SHIELD",
"identifier": "010073286MA01",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0804433",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P1503588",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.