Individual provider Active NPI

Maurice Jude Romeo Fauvel, D.O.

  • Family Medicine Physician
  • Nederland, CO
National Provider Identifier
1427151877
Registry record updated Feb 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35947 Issued in CO
Practice address
159 Hwy 72 West
Pob 550
Nederland, CO 80466
Phone
(303) 258-9355
Fax
(303) 258-9356
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35947 CO Primary

Addresses

Primary practice location

159 Hwy 72 West
Pob 550
Nederland, CO 80466

Mailing address

PO Box 550
159 Hwy 72 W
Nederland, CO 80466-0550
Phone (303) 258-9355

Other identifiers 3

IdentifierTypeStateIssuer
35947OtherCASTATE LICENSE
1427151877OtherNPI
01359470MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20190123003620 CO Order and Referring Only - Family PracticePractitioner - Family Practice 1052392016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35947COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbine Family Medicine Family Medicine PastSince May 26, 2004 Accepting new patients

Organizations & group practices 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266019200000",
    "number": "1427151877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "address_2": "159 HWY 72 W",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804660550",
            "telephone_number": "303-258-9355",
            "fax_number": "303-258-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 HWY 72 WEST",
            "address_2": "POB 550",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "80466",
            "telephone_number": "303-258-9355",
            "fax_number": "303-258-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUVEL",
        "first_name": "MAURICE",
        "middle_name": "JUDE ROMEO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "35947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35947",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427151877",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01359470",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, CO

Sources for this page

Verify at the official NPI Registry.