Noah Fanous, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

BP10088023 Issued in TX

Practice address

Dell Medical School Gme Office 1501 Red River
2ND Floor
Austin, TX 78712-0811

Phone

(512) 495-5555

NPI assigned

May 24, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: noah.fanous.1@8363.direct.athenahealth.com

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1376382648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DELL MEDICAL SCHOOL GME OFFICE 1501 RED RIVER",
            "address_2": "2ND FLOOR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787120811",
            "telephone_number": "512-495-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DELL MEDICAL SCHOOL GME OFFICE 1501 RED RIVER",
            "address_2": "2ND FLOOR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787120811",
            "telephone_number": "512-495-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANOUS",
        "first_name": "NOAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10088023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Fankhauser, LCSW
• Andrew Fannie
• Oliver William Fannin III, MD
• Tuyet M Fannin, DO
• Vanessa Grace Fanourgiakis, M.S. CCC-SLP
• Sarah Fanta
• Dean Fantasia
• Julianne Fantazia, RD
• Isabella Fanucci-Dishon
• Far South Psychiatry, PLLC

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.