Individual provider Active NPI

Mark Faltaous, MD

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
National Provider Identifier
1588082036
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0067709 Issued in CO
Practice address
4460 Malibu PT Apt 204
Colorado Springs, CO 80906-9136
Phone
(720) 592-7229
NPI assigned
Apr 2, 2014
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DR.0067709 CO Primary
Diagnostic Radiology Physician 2085R0202X 101280454 VA

Addresses

Primary practice location

4460 Malibu PT Apt 204
Colorado Springs, CO 80906-9136

Mailing address

610 E Battlefield St Ste a
Springfield, MO 65807-5793
Phone (877) 972-9247

Other practice location 1

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 696-2583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211214000902 CO Practitioner - Diagnostic Radiology 9931599578 Reassigns benefits to 27 organizations
I20251013001541 TX Practitioner - Diagnostic Radiology 9931599578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Radiologists PCGroup PAC ID 7113915281, 77 clinicians
Mercy Diagnostic Imaging PCGroup PAC ID 1153233283, 91 clinicians
Wayne Radiologists PAGroup PAC ID 2769496066, 26 clinicians
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Radiology Medical Group of NapaGroup PAC ID 7113906397, 41 clinicians
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Oroville HospitalGroup PAC ID 1254234339, 93 clinicians
Acadiana Radiology GroupGroup PAC ID 1355403114, 50 clinicians
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Jason L Hwang MD IncGroup PAC ID 6103171012, 50 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

1058 S Race St
Denver, CO 80209-4613
Phone (540) 686-1600

293 Hatcher Cir
Pagosa Springs, CO 81147-8855
Phone (610) 237-4814

400 E Pikes Peak Ave
Apt 562
Colorado Springs, CO 80903-4283
Phone (980) 487-3142

4460 Malibu PT
Apt 204
Colorado Springs, CO 80906-9136
Phone (530) 532-8220

669 Carved Ter
Colorado Springs, CO 80919-1130
Phone (855) 687-7237

6977 S Ensenada CT
Centennial, CO 80016-1964
Phone (919) 734-1866

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101280454VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Jan 29, 2025 Accepting new patients
Wayne Radiologists P a CurrentSince Jan 1, 2024 Accepting new patients
Direct Radiology PLLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
North Oaks Medical Center, LLC Diagnostic Radiology CurrentSince Dec 19, 2022 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jan 29, 2025 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 29, 2025 Accepting new patients
White Mountain Radiology Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Winchester Radiologists PC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Radiology Medical Group of Napa Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Pueblo Radiological Group, P.C. Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Carolinas Physicians Network Inc Diagnostic Radiology CurrentSince Sep 21, 2025 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Jan 29, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 21, 2025 Accepting new patients
Columbus Radiology Physicians LLC Diagnostic Radiology CurrentSince Aug 23, 2023 Accepting new patients
Mercy Diagnostic Imaging PC Diagnostic Radiology CurrentSince Aug 13, 2024 Accepting new patients
Enloe Medical Center CurrentSince Jul 8, 2024 Accepting new patients
South Florida Medical Imaging, PA Diagnostic Radiology CurrentSince Jun 15, 2022 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Pueblo Radiological Group PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 29, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince Feb 29, 2024 Accepting new patients
Acadiana Radiology Group Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Catawba Radiological Associates, Inc. Diagnostic Radiology CurrentSince Jan 18, 2024 Accepting new patients
Radiology and Nuclear Medicine LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Oroville Hospital CurrentSince Jul 1, 2024 Accepting new patients
Carilion Medical Center CurrentSince Jan 29, 2025 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology CurrentSince May 12, 2023 Accepting new patients
Shannon Clinic Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
X-Ray Professional Association Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Jason L Hwang MD Inc Diagnostic Radiology CurrentSince Jul 8, 2024 Accepting new patients
Tahoe Carson Radiology Loos Et Al LTD Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Enloe Medical Center CurrentSince Jul 8, 2024 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Dec 19, 2022 Accepting new patients
Menalam Health Services PC Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Radiology Consultants, PC Diagnostic Radiology Past Accepting new patients
Truman Medical Center Incorporated Past Accepting new patients
Northern Inyo Associates Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

4951 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 228-8384

150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

900 Mono Way
Sonora, CA 95370
Phone (209) 536-6920

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

23500 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-5100

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

4811 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 237-8119

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

14 Maple St
Ste 100
Gilford, NH 03249
Phone (603) 524-4220

14 Maple St
Ste 200
Gilford, NH 03249
Phone (603) 524-7514

724 N Main St
Laconia, NH 03246
Phone (603) 524-5151

734 N Main St
Laconia, NH 03246
Phone (603) 527-1855

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7433

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

160 Exeter Dr
Ste 103
Winchester, VA 22603
Phone (541) 686-1600

Interoperability endpoints

  • Direct secure messaging: mfaltaous3023761@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 42

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.

View all 42

Hospital & facility affiliations 11

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1588082036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E BATTLEFIELD ST STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075793",
            "telephone_number": "877-972-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 MALIBU PT APT 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809069136",
            "telephone_number": "720-592-7229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-696-2583",
            "fax_number": "718-881-5074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALTAOUS",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0067709",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "101280454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.