NPIMap

Individual provider Active NPI

Wael Fathy Gayd Faltas, MD

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1942458252
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME111714 Issued in FL
Practice address
7657 Cita LN Unit 101
New Port Richey, FL 34653-6221
Phone
(727) 233-1118
NPI assigned
Aug 29, 2008
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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 ME111714 FL Primary

Addresses

Primary practice location

7657 Cita LN Unit 101
New Port Richey, FL 34653-6221

Mailing address

7657 Cita LN Unit 101
New Port Richey, FL 34653-6221
Phone (727) 233-1118

Other identifiers 1

IdentifierTypeStateIssuer
004522300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120216000449 FL Practitioner - Internal Medicine 8527112556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

5347 Main St
New Port Richey, FL 34652-2520
Phone (727) 841-0515

7657 Cita LN
Unit 101
New Port Richey, FL 34653-6221
Phone (727) 233-1118

7657 Cita LN Unit
Suite 101
New Port Richey, FL 34653-6221

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90.56
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME111714FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians, P.C. CurrentSince Dec 15, 2014 Accepting new patients
Cardiovascular and Thoracic Surgery, PLLC CurrentSince Apr 3, 2017 Accepting new patients
24 On Physicians, PC CurrentSince Dec 15, 2014 Accepting new patients
Instic Health LLC PastSince Jun 3, 2024 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

7657 Cita Ln
Unit 101
New Prt Rchy, FL 34653
Phone (727) 232-3922

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIADD/Endpoint/CEIADD
  • Direct secure messaging: wael.faltas.1@15141.direct.athenahealth.com

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 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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1942458252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7657 CITA LN UNIT 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536221",
            "telephone_number": "727-233-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7657 CITA LN UNIT 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536221",
            "telephone_number": "727-233-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALTAS",
        "first_name": "WAEL",
        "middle_name": "FATHY GAYD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME111714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004522300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.