Individual provider Active NPI

Charbel Simon Fawaz, MD

  • Neurological Surgery Physician
  • Winchester, VA
National Provider Identifier
1487375440
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101275473 Issued in VA
Practice address
1818 Amherst St Ste 101
Winchester, VA 22601-2894
Phone
(540) 450-0072
Fax
(540) 450-0074
NPI assigned
Sep 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 0101275473 VA Primary

Addresses

Primary practice location

1818 Amherst St Ste 101
Winchester, VA 22601-2894

Mailing address

220 Campus Blvd Ste 210
Winchester, VA 22601-2889
Phone (540) 536-5100

Other practice location 1

174 Botanical Blvd
Winchester, VA 22603-3977
Phone (540) 536-5900

Other practice location 2

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address cfawaz1120609@soc.inova.org
Direct Messaging Address cfawaz1120609@soc.inova.org
Direct Messaging Address cfawaz1120609@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230118001095 VA Practitioner - Neurosurgery 1557732146 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians

Practice addresses (Care Compare)

1818 Amherst St
Suite 200
Winchester, VA 22601-3350
Phone (540) 450-2339

Hospital & facility affiliations

  • Valley Health Home Health Home health agency, Winchester, VA, CCN 497058
  • Valley Health Home Health/West Virginia Home health agency, Romney, WV, CCN 517075
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033
  • Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305
  • Hampshire Memorial Hospital Hospital, Romney, WV, CCN 511311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion223
Laminectomy or laminotomy (partial removal of spine bones)144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc. Neurological Surgery CurrentSince Mar 1, 2023 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Valley Physician Enterprise, Inc Current Accepting new patients
Winchester Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Shenandoah Memorial Hospital Inc. Neurological Surgery CurrentSince May 16, 2025 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince May 16, 2025 Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

9166 N Congress St
New Market, VA 22844
Phone (540) 459-1340

1818 Amherst St
Ste 200
Winchester, VA 22601
Phone (540) 450-2339

220 Campus Blvd
Ste 320
Winchester, VA 22601

1818 Amherst St
Ste 101
Winchester, VA 22601
Phone (540) 450-0072

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 210
Winchester, VA 22601

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

Interoperability endpoints

  • Direct secure messaging: cfawaz1101024@valleyhealth.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1487375440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 210",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 AMHERST ST STE 101",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012894",
            "telephone_number": "540-450-0072",
            "fax_number": "540-450-0074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Botanical Blvd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226033977",
            "country_code": "US",
            "telephone_number": "540-536-5900",
            "fax_number": "540-536-5915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAWAZ",
        "first_name": "CHARBEL",
        "middle_name": "SIMON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101275473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfawaz1120609@soc.inova.org",
            "affiliation": "N",
            "address_1": "1818 Amherst St Ste 101",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfawaz1120609@soc.inova.org",
            "affiliation": "N",
            "address_1": "174 Botanical Blvd",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226033977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfawaz1120609@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.