Active NPI
Elisa M Faybush, M.D.
- Gastroenterology Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 33833
- Practice address
- 3048 E Baseline Rd
Suite 105
Mesa, AZ 85204-7286 - Phone
- (480) 545-6060
- Fax
- (480) 632-0467
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 33833 | AZ | Primary |
Addresses
Primary practice location
3048 E Baseline Rd
Suite 105
Mesa, AZ 85204-7286
Mailing address
3020 E Camelback Rd
Suite 301
Phoenix, AZ 85016-5095
Phone (480) 545-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33833 | Other | AZ | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3048 E Baseline Rd
Suite 105
Mesa, AZ 85204-7287
Phone (480) 545-6060
Hospital & facility affiliations
- Banner Desert Medical Center
- Banner Baywood Medical Center
- Banner Gateway Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.75 of 100
- Quality
- 60.45
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 81.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 220 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 137 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33833 | AZ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Digestive Health, PC | Gastroenterology | Current | Accepting new patients |
| Southwest Medical Specialists PC | Gastroenterology | Past | Accepting new patients |
Locations
5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
3048 E Baseline Rd
Ste 105
Mesa, AZ 85204
Phone (480) 545-6060
3020 E Camelback Rd
Ste 301
Phoenix, AZ 85016
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1992981583
-
- Gastroenterology Physician
- Mesa, AZ
- NPI 1780771840
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1699884858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1538264684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 E CAMELBACK RD",
"address_2": "SUITE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165095",
"telephone_number": "480-545-6060",
"fax_number": "480-632-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3048 E BASELINE RD",
"address_2": "SUITE 105",
"city": "MESA",
"state": "AZ",
"postal_code": "852047286",
"telephone_number": "480-545-6060",
"fax_number": "480-632-0467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAYBUSH",
"first_name": "ELISA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AZ",
"license": "33833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "33833",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.