DR. FRANK JOSEPH JR. FASULLO (MD) – Family Medicine Physician, NPI 1205812625

DR. FRANK JOSEPH JR. FASULLO (MD) is a healthcare provider. based in Houston, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. J8532 (TX). The NPI Number for DR. FRANK JOSEPH JR. FASULLO (MD) is 1205812625

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. FRANK JOSEPH JR. FASULLO (MD)
NPI
1205812625
Phone
(281) 415-1972
Address
17047 EL CAMINO REAL
Enumeration Date
17 December 2005
Last Update Date
21 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8322193833
Graduation Year
1994 (32 years ago)
PAC ID
5991618084
Group Practice PAC ID
0042662462
Professional Enrollment ID
I20040107000761
Address ID
TX770279510HO1535XSXXX401

Contacts

Secure Messaging
fjfasullo@uthet.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,050 EMERGENCY MEDICINE in TX

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Provider Addresses for DR. FRANK JOSEPH JR. FASULLO (MD)

  • 17047, El Camino Real, Clear Lake City, Houston, Harris County, Texas, 77058, United States

    SUITE 105

    HOUSTON, TX 770582652

    Phone: (281) 415-1972

    Fax: (281) 486-9904

    Mailing address matches the actual address.

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: 2004-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040107000761IEmergency MedicineTXTBD

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
99284Emergency department visit with moderate level of medical decision making6665$0
99283Emergency department visit with low level of medical decision making4040$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2513$0
View full utilization report →

Insurance plans in this area (ZIP 77058)

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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: 0042662462View full group profile
NameSpecialtyState
Emergency MedicineTX
Family PracticeTX
Internal Medicine, Emergency MedicineAZ
Family Practice, Emergency Medicine, Internal Medicine, Obstetrics/GynecologyNM
Emergency Medicine, Family PracticeTX
Family PracticeTX
Emergency Medicine, General Practice, Ophthalmology, Pain ManagementTX
Emergency MedicinePA
Family PracticeTX
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. FRANK JOSEPH JR. FASULLO (MD)'s NPI?
Yes. DR. FRANK JOSEPH JR. FASULLO (MD) is listed with NPI 1205812625 in the public NPI dataset.
Does CMS list DR. FRANK JOSEPH JR. FASULLO (MD) as active?
Yes — DR. FRANK JOSEPH JR. FASULLO (MD) is active in the NPI listing used on this page.
What is DR. FRANK JOSEPH JR. FASULLO (MD) best known for clinically?
Directory data describes DR. FRANK JOSEPH JR. FASULLO (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. FRANK JOSEPH JR. FASULLO (MD)?
DR. FRANK JOSEPH JR. FASULLO (MD)'s geographic hint is Houston, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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