PAUL FAYBUSOVICH D.O NPI 1497109219

NPI Information

  • NPI: 1497109219
  • Provider Name: PAUL FAYBUSOVICH, D.O
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1900 CENTRACARE CIR STE 1325
    SAINT CLOUD, MN
    ZIP 56303
  • Phone: (320) 654-3650

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NPI Details

Paul Faybusovich, D.O is an allergy immunology in Saint Cloud, MN with 9 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. Paul Faybusovich, D.O NPI is 1497109219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2016

The provider's business location address is:

1900 CENTRACARE CIR STE 1325
SAINT CLOUD, MN
ZIP 56303-000
Phone: (320) 654-3650
Fax: (320) 654-3681

The NPI 1497109219 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 4/18/2016 and was last updated on 4/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyOT019251PENNSYLVANIAYes
2207R00000XInternal MedicineOS020058PENNSYLVANIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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