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WISSAM FAYAD M.D. PC
NPI 1003129719
Internal Medicine - Geriatric Medicine in Yuma, AZ

Active since July 22, 2010
1841 W 25TH ST, SUITE A, YUMA, AZ 85364(928) 344-5565(928) 344-5655 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2025, Apr 6, 2022 (2 updates tracked since 2022).

About Wissam Fayad M.d. Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISSAM FAYAD M.D. PC (NPI 1003129719) is a healthcare organization registered as a geriatric medicine in Yuma, Arizona and active in the NPI registry since July 2010. The organization maintains a secondary practice location in Chandler and lists Wissam A Fayad, Owner, as its authorized official.

NPPES Registry Identity

NPI1003129719
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameWISSAM FAYAD M.D. PC
Location Address1841 W 25TH ST, SUITE AYuma, AZ 85364-6920
Mailing Address1841 W 25th St, Suite AYuma, AZ 85364-6920 · (928) 344-5565 · Fax (928) 344-5655
Phone(928) 344-5565
Fax(928) 344-5655
Organization SubpartNo
Authorized OfficialWissam A FayadOwner · (928) 344-5565
Enumeration DateJuly 22, 2010
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1003129719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedSpecialistTaxonomy 174400000X · License 35717 (AZ)
1841 W 25TH ST, Yuma, AZ 85364
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Secondary Practice Location 1

Location 13377 S Price Rd Ste 107Chandler, AZ 85248-3578 · Phone (480) 561-1155 · Fax (928) 344-5655

Other Identifiers 2

OtherZ138627AZ · Medicare Ptan
Medicaid127246AZ

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wissam Fayad M.d. Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wissam Fayad M.D. PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wissam Fayad, M.D.
Internal Medicine
NPI 1902841810
1841 W 25TH ST STE A
Yuma, AZ 85364
(928) 344-5565
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wissam Fayad M.D. PC's NPI number?

The NPI number for Wissam Fayad M.D. PC is 1003129719. It was assigned to this organization in the NPPES registry on July 22, 2010.

Where is Wissam Fayad M.D. PC located?

Wissam Fayad M.D. PC is located at 1841 W 25th St Suite A, Yuma, AZ 85364. The listed phone number is (928) 344-5565.

What is Wissam Fayad M.D. PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Wissam Fayad M.D. PC enrolled in Medicare?

Yes. Wissam Fayad M.D. PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wissam Fayad M.D. PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Wissam Fayad M.D. PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wissam Fayad M.D. PC was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.