Individual provider Active NPI

Adel Faltaous, MD

  • Plastic Surgery Physician
  • Huntington, WV
National Provider Identifier
1174582423
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
17911 Issued in WV
Practice address
5185 US Route 60 E
Suite 26
Huntington, WV 25705-2078
Phone
(304) 691-8910
Fax
(304) 691-1860
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 17911 WV
Plastic Surgery Physician 208200000X 17911 WV Primary

Addresses

Primary practice location

5185 US Route 60 E
Suite 26
Huntington, WV 25705-2078

Mailing address

5185 US Route 60 E
Suite 26
Huntington, WV 25705-2078
Phone (304) 691-8910

Other identifiers 3

IdentifierTypeStateIssuer
0984118MedicaidOH
0114070000MedicaidWV
64700362MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adel.faltaous@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051213000012 WV Practitioner - Plastic and Reconstructive Surgery 6901827492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Medical Ctr Dr
Huntington, WV 25701-3655

3246 US Route 60
Huntington, WV 25705-2076

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17911WVMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Aug 1, 1994 Accepting new patients
University Physicians & Surgeons, Inc CurrentSince Aug 1, 1994 Accepting new patients

Locations

1249 15th St
#4093
Huntington, WV 25701

1600 Medical Center Dr
#25
Huntington, WV 25701
Phone (304) 691-1200

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1600 Medical Center Dr
#B51
Huntington, WV 25701
Phone (304) 691-8850

3246 US Route 60
Ste 26
Huntington, WV 25705
Phone (304) 691-8910

Organizations & group practices 2

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 2

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1174582423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 US ROUTE 60 E",
            "address_2": "SUITE 26",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052078",
            "telephone_number": "304-691-8910",
            "fax_number": "304-691-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 US ROUTE 60 E",
            "address_2": "SUITE 26",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052078",
            "telephone_number": "304-691-8910",
            "fax_number": "304-691-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALTAOUS",
        "first_name": "ADEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "WV",
            "license": "17911",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WV",
            "license": "17911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0984118",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114070000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64700362",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adel.faltaous@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "5185 US Route 60 E",
            "address_2": "Suite 26",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257052078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.