Individual provider Active NPI

Michael Faust, M.D.

  • Pediatrics Physician
  • Washington, PA
National Provider Identifier
1417937798
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD063512L Issued in PA
Practice address
100 Wellness Way
BLDG 2
Washington, PA 15301-9706
Phone
(724) 250-6001
Fax
(724) 250-6004
NPI assigned
Jan 20, 2006
Last updated
Sep 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD063512L PA Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X MD063512L PA

Addresses

Primary practice location

100 Wellness Way
BLDG 2
Washington, PA 15301-9706

Mailing address

100 Wellness Way
BLDG 2
Washington, PA 15301-9706
Phone (724) 250-6001

Other identifiers 1

IdentifierTypeStateIssuer
01687430MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210707003012 PA Practitioner - Undersea and Hyperbaric Medicine 1254342827 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD063512LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services Pediatrics CurrentSince Jul 1, 2021 Accepting new patients
Washington Physician Services Organization Pediatrics Past Accepting new patients
Upmc Washington Past Accepting new patients
Health Futures Inc Past Accepting new patients

Locations

100 Wellness Way
Bldg 2
Washington, PA 15301
Phone (724) 250-6001

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

Interoperability endpoints

  • Direct secure messaging: michael.faust@whc.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Washington Physicians GroupWaynesburg, PA, CCN 393897 Rural health clinic Corporate Director (50%)
W-2 Managing Employee
Oct 21, 2021
Oct 21, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1417937798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WELLNESS WAY",
            "address_2": "BLDG 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019706",
            "telephone_number": "724-250-6001",
            "fax_number": "724-250-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WELLNESS WAY",
            "address_2": "BLDG 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019706",
            "telephone_number": "724-250-6001",
            "fax_number": "724-250-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD063512L",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "PA",
            "license": "MD063512L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01687430",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.