DR. MICHAEL M FANOUS, D.P.M. , INC.
NPI 1639115454
Podiatrist - Foot & Ankle Surgery in Victorville, CA

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
15366 11TH ST STE D, VICTORVILLE, CA 92395(760) 951-1238(760) 951-1473 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Michael M Fanous, D.p.m. , Inc. NPPES

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

DR. MICHAEL M FANOUS, D.P.M. , INC. (NPI 1639115454) is an individual foot & ankle surgery provider in Victorville, California, licensed in California (E3544) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1987).

NPPES Registry Identity

NPI1639115454
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. MICHAEL M FANOUS, D.P.M. , INC.
Location Address15366 11TH ST STE DVictorville, CA 92395-3726
Mailing Address2834 Hamner AveNorco, CA 92860-1929 · (760) 951-1238 · Fax (760) 951-1473
Fax(760) 951-1473
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1987
Enumeration DateJune 21, 2006
Last NPPES UpdateAugust 20, 2019
NPI 1639115454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E3544
15366 11TH ST STE D, Victorville, CA 92395

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael M Fanous, D.p.m. , Inc. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830165836
PECOS Enrollment IDI20040909000855
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
564 services199 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
324 services111 patients
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275
This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.
298 services44 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
269 services104 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
127 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
78 services78 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
15366 11TH ST STE D
VICTORVILLE, CA 92395
Internal Medicine (Gastroenterology)
15366 11TH ST STE D
VICTORVILLE, CA 92395

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 Fanous, D.p.m. , Inc.'s NPI number?

The NPI number for Michael Fanous, D.p.m. , Inc. is 1639115454. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Michael Fanous, D.p.m. , Inc. located?

Michael Fanous, D.p.m. , Inc. practices at 15366 11th St Ste D, Victorville, CA 92395. The listed phone number is (760) 951-1238.

What is Michael 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 Fanous, D.p.m. , Inc. enrolled in Medicare?

Yes. Michael Fanous, D.p.m. , Inc. is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Fanous, D.p.m. , Inc. was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.