Individual provider Active NPI

Fausto Lanao, MD

  • Internal Medicine Physician
  • Waterbury, CT
National Provider Identifier
1801844675
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039801 Issued in CT
Practice address
1320 W Main St
Building 1, Unit 1
Waterbury, CT 06708-3119
Phone
(203) 754-3151
Fax
(203) 596-7287
NPI assigned
May 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 039801 CT Primary

Addresses

Primary practice location

1320 W Main St
Building 1, Unit 1
Waterbury, CT 06708-3119

Mailing address

133 Scovill St
Ste 101
Waterbury, CT 06706-1127
Phone (203) 709-8873

Other identifiers 1

IdentifierTypeStateIssuer
001398016MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20091221000398 CT Practitioner - Internal Medicine 5496895534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

166 Waterbury Rd
Suite 300
Prospect, CT 06712-1246
Phone (203) 709-5300

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-6263

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039801CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Feb 2, 2026 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Feb 2, 2026 Accepting new patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Sep 28, 2020 Accepting new patients
South Wheeler County Hospital District Past Accepting new patients
Preferred Hospital Leasing Shamrock, Inc. Internal Medicine PastSince Apr 24, 2022 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

305 Church St
Ste 6
Naugatuck, CT 06770
Phone (203) 729-5277

166 Waterbury Rd
Ste 300
Prospect, CT 06712
Phone (203) 709-5300

1320 W Main St
Bldg 1
Waterbury, CT 06708
Phone (203) 755-9960

133 Scovill St
Ste 101
Waterbury, CT 06706
Phone (203) 709-3850

1389 W Main St
Ste 325
Waterbury, CT 06708
Phone (203) 574-1274

1981 E Main St
Waterbury, CT 06705
Phone (203) 709-5520

1981 E Main St
Unit 2
Waterbury, CT 06705
Phone (203) 709-5520

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

Organizations & group practices 5

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 2

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801844675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SCOVILL ST",
            "address_2": "STE 101",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061127",
            "telephone_number": "203-709-8873",
            "fax_number": "203-709-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W MAIN ST",
            "address_2": "BUILDING 1, UNIT 1",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083119",
            "telephone_number": "203-754-3151",
            "fax_number": "203-596-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANAO",
        "first_name": "FAUSTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "039801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001398016",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.