Individual provider Active NPI

Thomas Faulhaber, M.D.

  • Emergency Medicine Physician
  • Walsenburg, CO
National Provider Identifier
1912914466
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
37876 Issued in CO
Practice address
23500 US Highway 160
Walsenburg, CO 81089-9524
Phone
(719) 738-5144
Fax
(719) 738-5138
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 37876 CO Primary

Addresses

Primary practice location

23500 US Highway 160
Walsenburg, CO 81089-9524

Mailing address

23500 US Highway 160
Walsenburg, CO 81089-9524
Phone (719) 738-5144

Other identifiers 1

IdentifierTypeStateIssuer
91972323MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120917000303 TX Practitioner - Emergency MedicinePractitioner - Family Practice 7315900552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

US Hwy 160
BLDG 2000 Dennehotso Health Ctr
Dennehotso, AZ 86535-2000
Phone (928) 697-4000

US Hwy 160 S
MP 394
Kayenta, AZ 86033-0368
Phone (928) 697-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37876COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kayenta Alternative Rural Hospital CurrentSince Jul 12, 2019 Accepting new patients
Quantum Plus LLC Emergency Medicine Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients

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 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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912914466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23500 US HIGHWAY 160",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810899524",
            "telephone_number": "719-738-5144",
            "fax_number": "719-738-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23500 US HIGHWAY 160",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810899524",
            "telephone_number": "719-738-5144",
            "fax_number": "719-738-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULHABER",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "37876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91972323",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walsenburg, CO

Sources for this page

Verify at the official NPI Registry.