Individual provider Active NPI

John Adel Faltaous, DPM

  • Foot & Ankle Surgery Podiatrist
  • Stuart, FL
National Provider Identifier
1912642919
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4690 Issued in FL
Practice address
1233 SE Indian St Ste 102
Stuart, FL 34997-5689
Phone
(973) 972-9000
NPI assigned
May 3, 2022
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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 PO4690 FL Primary

Addresses

Primary practice location

1233 SE Indian St Ste 102
Stuart, FL 34997-5689

Mailing address

203 Cliffview Dr
Huntington, WV 25704-8811
Phone (304) 360-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251119000570 FL Practitioner - Podiatry 6709377500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1233 SE Indian St
Suite 102
Stuart, FL 34997-5689

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4690FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
McCain Foot & Ankle Specialist PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2026 Accepting new patients
Foot and Ankle Specialists of Jupiter PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2026 Accepting new patients

Locations

1106 W Indiantown Rd
Ste 4
Jupiter, FL 33458
Phone (561) 744-6683

1233 SE Indian St
Ste 102
Stuart, FL 34997
Phone (772) 223-8313

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGADDD

Organizations & group practices 2

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 1

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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1912642919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CLIFFVIEW DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257048811",
            "telephone_number": "304-360-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SE INDIAN ST STE 102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975689",
            "telephone_number": "973-972-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALTAOUS",
        "first_name": "JOHN",
        "middle_name": "ADEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.