Individual provider Active NPI

Faye C Giangiacomo, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Wichita, KS
National Provider Identifier
1851595854
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0435605 Issued in KS
Practice address
929 N St Francis
Wichita, KS 67214-3821
Phone
(316) 268-5426
Fax
(316) 652-0340
NPI assigned
Jun 13, 2007
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 04-35605 KS
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0435605 KS Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 105442 MN

Addresses

Primary practice location

929 N St Francis
Wichita, KS 67214-3821

Mailing address

5330 S 900 E Ste 120
Salt Lake City, UT 84117-3504
Phone (801) 266-0055

Other names 1

  • Faye L. Chang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20210923002310 UT Practitioner - Pathology 7719156603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Missouri, Columbia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Pathology Services IncGroup PAC ID 1355251521, 28 clinicians

Practice addresses (Care Compare)

Provo, UT 84604
Phone (801) 266-0055

1034 N 500
Provo, UT 84604-3380
Phone (801) 357-7850

170 N 1100
American Fork, UT 84003-2096
Phone (801) 855-3300

3741 W 12600
Riverton, UT 84065-7215
Phone (801) 266-0055

5252 S Intermountain Dr
Murray, UT 84107-5700
Phone (801) 266-0055

765 E Marker Place Dr
Spanish Fork, UT 84660-1396
Phone (385) 344-5000

8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 266-0055

900 Round Valley Dr
Park City, UT 84060-7552
Phone (801) 266-0055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.42 of 100Reported as group
Quality
86.38
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0435605KSMDAnatomic Pathology & Clinical Pathology Physician
105442MNMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Pathology Services, Inc Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2021 Accepting new patients

Locations

5700 Southwyck Blvd
Toledo, OH 43614

5330 S 900 E
Ste 120
Murray, UT 84117
Phone (801) 631-8769

5252 S Intermountain Dr
Salt Lake City, UT 84107
Phone (801) 507-2110

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

Organizations & group practices 1

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 7

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1851595854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 S 900 E STE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841173504",
            "telephone_number": "801-266-0055",
            "fax_number": "801-266-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N ST FRANCIS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5426",
            "fax_number": "316-652-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANGIACOMO",
        "first_name": "FAYE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "04-35605",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "0435605",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MN",
            "license": "105442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAYE",
            "last_name": "CHANG",
            "middle_name": "L.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.