Individual provider Active NPI

Nicholas J Faiver, DPM

  • Foot & Ankle Surgery Podiatrist
  • Macomb, MI
National Provider Identifier
1376029702
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400431 Issued in MI
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

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118001564 CT Practitioner - Podiatry 7113351578 Reassigns benefits to 2 organizations

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 100Reported as group
Quality
88.65
Promoting interoperability
93
Improvement activities
40
Cost
79.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue108
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Litchfield Hills Orthopedic Associates, LLP CurrentSince Feb 13, 2023 Accepting new patients
Litchfield Hills Surgery Center CurrentSince Jul 1, 2023 Accepting new patients
Litchfield Hills Orthopedic Associates, LLP CurrentSince Feb 13, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCADD
  • Direct secure messaging: nfaiver754629@direct.hfhs.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.