JOHN-PAUL FATTORUSSO DO
NPI 1205630878
Student in an Organized Health Care Education/Training Program in Winston Salem, NC
About John-paul Fattorusso Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN-PAUL FATTORUSSO DO (NPI 1205630878) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John-paul Fattorusso Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINSTON-SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
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 John-paul Fattorusso's NPI number?
The NPI number for John-paul Fattorusso is 1205630878. It was assigned to this individual provider in the NPPES registry on April 2, 2025.
Where is John-paul Fattorusso located?
John-paul Fattorusso practices at Medical Center Boulevard, Winston Salem, NC 27157. The listed phone number is (336) 713-7527.
What is John-paul Fattorusso's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is John-paul Fattorusso enrolled in Medicare?
Yes. John-paul Fattorusso is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John-paul Fattorusso was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# John-Paul Fattorusso, DO · NPI 1205630878
Student in an Organized Health Care Education/Training Program provider in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since April 2, 2025.
## Identity
- **NPI:** 1205630878 (Entity type: Individual)
- **Enumerated:** April 2, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** MEDICAL CENTER BOULEVARD, Winston Salem, NC 27157-0001
- **Phone:** (336) 713-7527
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205630878) · Data from the CMS NPPES public registry.