Active NPI
Nicholas J Faiver, DPM
- Foot & Ankle Surgery Podiatrist
- Macomb, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901400431
- Practice address
- 46591 Romeo Plank Rd Ste 111a
Macomb, MI 48044-5705 - Phone
- (586) 725-3444
- Fax
- (586) 725-0984
- NPI assigned
- Jul 18, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901400431 | MI | Primary |
Addresses
Primary practice location
46591 Romeo Plank Rd Ste 111a
Macomb, MI 48044-5705
Mailing address
32743 23 Mile Rd Ste 210
Chesterfield, MI 48047-2176
Phone (586) 725-3444
Other practice location 1
79 Middleville Rd
Northport, NY 11768-2200
Phone (313) 909-0059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
245 Alvord Park Rd
Torrington, CT 06790-3493
Phone (860) 482-8539
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.08 of 100
- Quality
- 88.65
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 79.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 108 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Litchfield Hills Orthopedic Associates, LLP | Current | Accepting new patients | |
| Litchfield Hills Surgery Center | Current | Accepting new patients | |
| Litchfield Hills Orthopedic Associates, LLP | Current | Accepting new patients | |
| General Hosp Medical Assoc, P.C. | Past | Accepting new patients |
Locations
281 N Main St
Bristol, CT 06010
Phone (860) 582-0822
245 Alvord Park Rd
Bldg B
Torrington, CT 06790
Phone (860) 482-4866
245 Alvord Park Rd
Ste A2
Torrington, CT 06790
Phone (860) 482-8539
245 Alvord Park Rd
Torrington, CT 06790
Phone (860) 482-8539
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AJCADD
- nfaiver754629@direct.hfhs.org
- https://api.platform.athenahealth.com/17041/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Torrington, CT
- NPI 1699874404
-
- Ambulatory Surgical Clinic/Center
- Torrington, CT
- NPI 1780613521
-
- Orthopaedic Surgery Physician
- Bristol, CT
- NPI 1760657712
-
- Cardiovascular Disease Physician
- Mount Clemens, MI
- NPI 1518000223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1376029702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32743 23 MILE RD STE 210",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480472176",
"telephone_number": "586-725-3444",
"fax_number": "586-725-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46591 ROMEO PLANK RD STE 111A",
"city": "MACOMB",
"state": "MI",
"postal_code": "480445705",
"telephone_number": "586-725-3444",
"fax_number": "586-725-0984"
}
],
"practiceLocations": [
{
"address_1": "79 Middleville Rd",
"address_purpose": "LOCATION",
"city": "Northport",
"state": "NY",
"postal_code": "117682200",
"country_code": "US",
"telephone_number": "313-909-0059",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAIVER",
"first_name": "NICHOLAS",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-18",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901400431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.