Individual provider Active NPI

Paulette Y Mhawech Fauceglia, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
National Provider Identifier
1225029093
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
K9354 Issued in TX
Practice address
901 W Ben White Blvd
Austin, TX 78704
Phone
(512) 447-2211
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A90153 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 002295 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X K9354 TX Primary

Addresses

Primary practice location

901 W Ben White Blvd
Austin, TX 78704

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-2582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, AZ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110419000574 CA Practitioner - Pathology 1355399270 Reassigns benefits to 1 organization
I20200303000626 NV Practitioner - Pathology 1355399270 Reassigns benefits to 1 organization
I20200409003345 AZ Practitioner - Pathology 1355399270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians
Laboratory Medicine Consultants LTDGroup PAC ID 4183617533, shared by 2 NPIs, 26 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8000

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000

657 N Town Ctr Dr
Las Vegas, NV 89144-6367
Phone (702) 233-7000

6900 N Durango Dr
Las Vegas, NV 89149-4409
Phone (702) 835-9700

7455 W Washington Ave
Suite 301
Las Vegas, NV 89128-4340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
47.69
Promoting interoperability
100
Improvement activities
40
Cost
82.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90153CAMDPharmacist
A90153CAMDAnatomic Pathology & Clinical Pathology Physician
K9354TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Medicine Consultants LTD CurrentSince Mar 6, 2020 Accepting new patients
Laboratory Medicine Consultants LTD Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2020 Accepting new patients
Kern County Hospital Authority CurrentSince Mar 1, 2024 Accepting new patients
Kern County Hospital Authority CurrentSince Mar 1, 2024 Accepting new patients
Keck Medical Center of Usc Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

File 749203
Los Angeles, CA 90074

11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820

7455 W Washington Ave
Ste 301
Las Vegas, NV 89128
Phone (702) 732-3441

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 732-3441

1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270

Organizations & group practices 5

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1225029093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-2582",
            "fax_number": "323-442-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78704",
            "telephone_number": "512-447-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MHAWECH FAUCEGLIA",
        "first_name": "PAULETTE",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A90153",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "002295",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "K9354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.