Active NPI
Frederick M. Faust, M.D.
- Pediatrics Physician
- Springfield, MO
National Provider Identifier
1346350162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2003018912
- Practice address
- 1540 E Evergreen St
Springfield, MO 65803-4300 - Phone
- (417) 823-2900
- Fax
- (417) 886-2774
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2003018912 | MO | Primary |
Addresses
Primary practice location
1540 E Evergreen St
Springfield, MO 65803-4300
Mailing address
1540 E Evergreen St
Springfield, MO 65803-4300
Phone (417) 823-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209181007 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | FFAUST@OCHHOSPITAL.HIN.US |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080611000703 | MO | Practitioner - Pediatric Medicine | 6406927979 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sgoh Acquisition Inc
Practice addresses (Care Compare)
1540 E Evergreen St
Springfield, MO 65803-4300
Phone (417) 823-2900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primrose Nephrology, Inc. | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1540 E Evergreen St
Springfield, MO 65803
Phone (417) 823-2900
Interoperability endpoints
- ffaust@ochhospital.hin.us
Organizations & group practices 18
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.
-
- Rural Health Clinic/Center
- Mount Vernon, MO
- NPI 1568502631
-
- Rural Health Clinic/Center
- Rogersville, MO
- NPI 1942335203
-
- Rural Health Clinic/Center
- Anderson, MO
- NPI 1063969665
-
- Rural Health Clinic/Center
- Carthage, MO
- NPI 1104229186
-
- Rural Health Clinic/Center
- Marshfield, MO
- NPI 1225338155
-
- Rural Health Clinic/Center
- Pineville, MO
- NPI 1386191989
-
- Rural Health Clinic/Center
- Noel, MO
- NPI 1386985521
-
- Rural Health Clinic/Center
- South West City, MO
- NPI 1801343405
-
- Rural Health Clinic/Center
- Sparta, MO
- NPI 1811391717
-
- Rural Health Clinic/Center
- Goodman, MO
- NPI 1972050581
-
- Rural Health Clinic/Center
- Neosho, MO
- NPI 1982254371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1346350162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 E EVERGREEN ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658034300",
"telephone_number": "417-823-2900",
"fax_number": "417-886-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 E EVERGREEN ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658034300",
"telephone_number": "417-823-2900",
"fax_number": "417-886-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "FREDERICK",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2003018912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209181007",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "FFAUST@OCHHOSPITAL.HIN.US",
"affiliation": "N",
"address_1": "1540 E Evergreen St",
"city": "Springfield",
"state": "MO",
"country_code": "US",
"postal_code": "658034300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.