Faisal Jamil Gondal, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

0116038958 Issued in VA

Practice address

96 15TH St. NE,
Suite 104,
Norton, VA 24273

Phone

(276) 679-7457

Fax

(276) 439-1872

NPI assigned

May 20, 2024

Last updated

May 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: fgondal438347@balladhealth.medalliesdirect.net

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.

• Wellmont Health System

  • General Acute Care Hospital
  • Kingsport, TN
  • NPI 1760405849
  NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1669211843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 LEHMAN DR",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601856178",
            "telephone_number": "954-504-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 15TH ST. NE,",
            "address_2": "SUITE 104,",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "24273",
            "telephone_number": "276-679-7457",
            "fax_number": "276-439-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDAL",
        "first_name": "FAISAL",
        "middle_name": "JAMIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116038958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Denise Gervais, RD
• Jaleesa N Gibson
• Kenneth Scott Gilliam, RPH
• Orson Go, MD
• Gold Standard ABA VA LLC
• Srikumar Gopalan, MD
• Graybeal Orthopedic LLC (Anchor Brace and Limb)
• Melissa Caroline Green Begley, FNP
• Michael R Green, M.D.
• Guedon Medical Clinic

• Student in an Organized Health Care Education/Training Program in Norton, VA
• Providers in Norton, VA by specialty
• Student in an Organized Health Care Education/Training Program in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.