MICHAEL M. FANOUS, D.P.M., INC.
NPI 1083796726
Podiatrist - Foot & Ankle Surgery in Victorville, CA
About Michael M. Fanous, D.p.m., Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL M. FANOUS, D.P.M., INC. (NPI 1083796726) is a healthcare organization registered as a foot & ankle surgery in Victorville, California and active in the NPI registry since October 2006. The organization lists Michael M. Fanous, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael M. Fanous, D.p.m., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Michael M. Fanous, D.P.M., Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Michael M. Fanous, D.P.M., Inc.'s NPI number?
The NPI number for Michael M. Fanous, D.P.M., Inc. is 1083796726. It was assigned to this organization in the NPPES registry on October 20, 2006.
Where is Michael M. Fanous, D.P.M., Inc. located?
Michael M. Fanous, D.P.M., Inc. is located at 15366 11th St Suite D, Victorville, CA 92395. The listed phone number is (760) 951-1238.
What is Michael M. Fanous, D.P.M., Inc.'s specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Michael M. Fanous, D.P.M., Inc. enrolled in Medicare?
Yes. Michael M. Fanous, D.P.M., Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michael M. Fanous, D.P.M., Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Michael M. Fanous, D.P.M., Inc.. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Michael M. Fanous, D.P.M., Inc. was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Michael M. Fanous, D.p.m., Inc. · NPI 1083796726
Foot & Ankle Surgery organization in Victorville, California. Organization record, active in the CMS NPPES registry since October 20, 2006.
## Identity
- **NPI:** 1083796726 (Entity type: Organization)
- **Enumerated:** October 20, 2006
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Michael Fanous, PRESIDENT
## Practice location
- **Address:** 15366 11TH ST, SUITE D, Victorville, CA 92395-3726
- **Phone:** (760) 951-1238
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2008
- **Other identifiers:** Medicare UPIN T82756 (CA); Medicare ID-Type Unspecified ZZZ02340Z (CA); Medicare NSC 6034990001 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1083796726) · Data from the CMS NPPES public registry.