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CARMEN FANOUS MD
NPI 1316469026
Pediatrics in Saint Louis, MO

Active since July 13, 2017PECOS Enrolled
WUSM PEDS, 1 CHILDRENS PL MSC 8202-0016-06, SAINT LOUIS, MO 63110(314) 454-6050(855) 887-7850 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2026, Dec 1, 2021, Nov 6, 2020 and 1 more (4 updates tracked since 2017).

About Carmen Fanous Md NPPES

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

CARMEN FANOUS MD (NPI 1316469026) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2026026981) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316469026
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCARMEN FANOUSCredential: MD
Location AddressWUSM PEDS, 1 CHILDRENS PL MSC 8202-0016-06Saint Louis, MO 63110
Mailing Address1 Childrens Pl Msc 8202-0016-06Saint Louis, MO 63110 · (314) 454-6050 · Fax (855) 887-7850
Phone(314) 454-6050
Fax(855) 887-7850
Sole ProprietorNo
Enumeration DateJuly 13, 2017
Last NPPES UpdateJune 24, 20264 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1316469026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MO · 2026026981✔ Licensed in MD · D88649
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
WUSM PEDS, 1 CHILDRENS PL MSC 8202-0016-06, Saint Louis, MO 63110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen Fanous Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carmen Fanous reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medstar Medical Group - Southern Maryland LLC
746 mi
Internal Medicine
24035 THREE NOTCH ROAD
Hollywood, MD 20636
  • Reassigned Medicare billing, Maryland enrollment
  • 307 clinicians in this Medicare group
NPI 1831592211 (301) 373-7900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Carmen Fanous's NPI number?

The NPI number for Carmen Fanous is 1316469026. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Where is Carmen Fanous located?

Carmen Fanous practices at Wusm Peds, 1 Childrens Pl Msc 8202-0016-06, Saint Louis, MO 63110. The listed phone number is (314) 454-6050.

What is Carmen Fanous's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carmen Fanous enrolled in Medicare?

Yes. Carmen Fanous is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carmen Fanous's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Fanous reassigns Medicare benefits to Medstar Medical Group - Southern Maryland LLC (Hollywood, MD). The 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 Carmen Fanous's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carmen Fanous was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.