DR. ENOCK ELIE FAUSTIN (M.D) – Diagnostic Radiology Physician, NPI 1033440631

DR. ENOCK ELIE FAUSTIN (M.D) is a healthcare provider. based in Joplin, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D. They hold a License No. 04-473646 (KS). The NPI Number for DR. ENOCK ELIE FAUSTIN (M.D) is 1033440631

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ENOCK ELIE FAUSTIN (M.D)
NPI
1033440631
Phone
(417) 347-6611
Address
1102 W 32ND ST
Enumeration Date
20 January 2010
Last Update Date
10 May 2024

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6202313132
Graduation Year
2009 (17 years ago)
PAC ID
8224463435
Group Practice PAC ID
8325942253
Professional Enrollment ID
I20230316001893
Address ID
KS667626623PI1201XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,218 DIAGNOSTIC RADIOLOGY in MO

Provider Addresses for DR. ENOCK ELIE FAUSTIN (M.D)

  • 1102 W 32ND ST

    JOPLIN, MO 648043503

    Phone: (417) 347-6611

    Fax: (417) 347-6662

    Type: Location

  • 100 N Pine St

    Pittsburg, KS 667624756

    Phone: (620) 308-7245

    Type: Location

  • 1201 E Centennial Dr

    Pittsburg, KS 667626623

    Phone: (620) 231-0958

    Type: Location

  • PO BOX 3810

    JOPLIN, MO 648033810

    Phone: (417) 347-6611

    Fax: (417) 347-6662

    Type: Mailing

  • 6900, Georgia Avenue Northwest, Shepherd Park, Washington, Washington, D.C., 20012, United States

    WASHINGTON, DC 203070003

    Phone: (202) 782-8085

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-16

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200116001249IDiagnostic RadiologyMOTBD
I20230316001893IDiagnostic RadiologyKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view2,8421,463$0
70450Ct scan head or brain without contrast1,016826$0
71046X-ray of chest, 2 views960871$0
70551Mri scan of brain without contrast371356$0
71250Ct scan of chest without contrast345326$0
View full utilization report →

Insurance plans in this area (ZIP 64804)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325942253View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. ENOCK ELIE FAUSTIN (M.D)?
For DR. ENOCK ELIE FAUSTIN (M.D), use NPI 1033440631 as the unique 10-digit identifier.
Is DR. ENOCK ELIE FAUSTIN (M.D) still an active registrant?
DR. ENOCK ELIE FAUSTIN (M.D) carries an active NPI according to the public dataset.
What expertise is attributed to DR. ENOCK ELIE FAUSTIN (M.D)?
DR. ENOCK ELIE FAUSTIN (M.D)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. ENOCK ELIE FAUSTIN (M.D) registered?
Use Joplin, Missouri as the headline location for DR. ENOCK ELIE FAUSTIN (M.D) here.
Does DR. ENOCK ELIE FAUSTIN (M.D) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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