Individual provider Active NPI

Derek J McFaul, DO

  • Neurology Physician
  • Springfield, OR
National Provider Identifier
1972998722
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DO203644 Issued in OR
Practice address
1 Hayden Bridge Way
Springfield, OR 97477-1347
Phone
(541) 868-9430
Fax
(541) 868-9450
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X DO203644 OR Primary

Addresses

Primary practice location

1 Hayden Bridge Way
Springfield, OR 97477-1347

Mailing address

1 Hayden Bridge Way
Springfield, OR 97477-1347
Phone (541) 868-9430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210614002834 OR Practitioner - Neurology 0042547440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Associates Eugene-Springfield PCGroup PAC ID 0446246888, 9 clinicians

Practice addresses (Care Compare)

1 Hayden Bridge Way
Springfield, OR 97477-1347
Phone (541) 868-9430

Hospital & facility affiliations

  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027
  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022
  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16898CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates Eugene-Springfield PC Neurology CurrentSince Aug 1, 2022 Accepting new patients

Locations

1 Hayden Bridge Way
Springfield, OR 97477
Phone (541) 686-2837

Interoperability endpoints

  • Direct secure messaging: dmcfaul@yourcarecommunity.org

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 and National Provider Directory roles.

Hospital & facility affiliations 42

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1972998722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAYDEN BRIDGE WAY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771347",
            "telephone_number": "541-868-9430",
            "fax_number": "541-868-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAYDEN BRIDGE WAY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771347",
            "telephone_number": "541-868-9430",
            "fax_number": "541-868-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFAUL",
        "first_name": "DEREK",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "DO203644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.