MICHAEL CHAFIC FADDOUL PA-C
NPI 1659720191
Physician Assistant - Medical in Bowling Green, MO

Q: What is Michael Faddoul's NPI number?

The NPI number for Michael Faddoul is 1659720191. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Q: What is Michael Faddoul's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Michael Faddoul was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment

8 TOWN CENTER DR, BOWLING GREEN, MO 63334(573) 324-2241(573) 324-9854 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael Chafic Faddoul Pa-c NPPES

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

MICHAEL CHAFIC FADDOUL PA-C (NPI 1659720191) is an individual medical provider in Bowling Green, Missouri, licensed in Missouri (2023048261) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Hannibal Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659720191

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMICHAEL CHAFIC FADDOULCredential: PA-C

Location Address8 TOWN CENTER DRBowling Green, MO 63334-2803

Mailing AddressPo Box 1239Hannibal, MO 63401-1239 · (573) 248-5403 · Fax (573) 248-5419

Phone(573) 324-2241

Fax(573) 324-9854

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 6, 2016

Last NPPES UpdateJuly 29, 2024

NPPES CertifiedJuly 29, 2024

✔ NPI 1659720191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MO · 2023048261

Also ListedPhysician AssistantTaxonomy 363A00000X

8 TOWN CENTER DR, Bowling Green, MO 63334

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Secondary Practice Locations 2

Location 16000 Hospital DrHannibal, MO 63401-6887 · Phone (573) 248-5211 · Fax (573) 248-5210

Location 26500 Hospital DrHannibal, MO 63401-6890 · Phone (573) 629-3480 · Fax (573) 629-3987

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

Michael Chafic Faddoul Pa-c 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 ID9739472952

PECOS Enrollment IDI20240306000392

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260025

Location6000 Hospital DrHannibal, MO 63401 · Marion County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

MARLEE ANN KEELE NP-C

Nurse Practitioner (Family)