Individual provider Active NPI

Justin David Faul, DPM

  • Foot & Ankle Surgery Podiatrist
  • Haymarket, VA
National Provider Identifier
1659531150
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301033 Issued in VA
Practice address
15100 Washington St Ste 203
Haymarket, VA 20169-4920
Phone
(540) 274-3205
Fax
(833) 673-0375
NPI assigned
Jun 10, 2008
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301033 VA Primary

Addresses

Primary practice location

15100 Washington St Ste 203
Haymarket, VA 20169-4920

Mailing address

15100 Washington St Ste 203
Haymarket, VA 20169-4920
Phone (540) 274-3205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100820000938 TX Practitioner - Podiatry 7012041312 Reassigns benefits to 1 organization
I20180104001111 VA Practitioner - Podiatry 7012041312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 Sunset LN
Culpeper, VA 22701-3917
Phone (703) 396-5293

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue89
Removal of skin lesions20
Removal of nail tissue160
Removal or shaving of skin growth11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
629NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation CurrentSince Aug 2, 2010 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Dec 11, 2023 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Aug 2, 2010 Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

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.

Hospital & facility affiliations 4

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1659531150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 WASHINGTON ST STE 203",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694920",
            "telephone_number": "540-274-3205",
            "fax_number": "833-673-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 WASHINGTON ST STE 203",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694920",
            "telephone_number": "540-274-3205",
            "fax_number": "833-673-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUL",
        "first_name": "JUSTIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

Verify at the official NPI Registry.