WALID I. FAWAZ (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1477714111

WALID I. FAWAZ (M.D.) is a healthcare provider. based in Petersburg, Virginia. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 0101243555 (VA). The NPI Number for WALID I. FAWAZ (M.D.) is 1477714111

Main info

Male
34 Years Of Experience
Name
WALID I. FAWAZ (M.D.)
NPI
1477714111
Phone
(804) 861-0700
Address
269 MEDICAL PARK BLVD
Enumeration Date
24 June 2008
Last Update Date
10 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8048610700
Graduation Year
1992 (34 years ago)
PAC ID
3274658646
Group Practice PAC ID
3476443797
Professional Enrollment ID
I20100909000493
Address ID
VA238059337PE269XXBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,033 PSYCHIATRY in VA

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Provider Addresses for WALID I. FAWAZ (M.D.)

  • 269, Medical Park Boulevard, Pinehill Plaza, Lakewood, Petersburg, Virginia, 23805, United States

    PETERSBURG, VA 238059337

    Phone: (804) 861-0700

    Fax: (804) 863-4626

    Type: Mailing

  • 207, North 4th Avenue, Hopewell City, Hopewell (city), Virginia, 23860, United States

    HOPEWELL, VA 238602503

    Phone: (804) 541-0918

    Fax: (804) 541-7924

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $339.

Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Indivior Inc. ($60).

Total Amount

$339

General + Research + Ownership

Payments

16

Total payment records

General Amount

$339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-09-09

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
I20100909000493IPsychiatryVATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes12226$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10344$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7645$0
99238Hospital discharge day management, 30 minutes or less3130$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 23805)

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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: 3476443797View full group profile
NameSpecialtyState
P S Y C H I A T R YVA
Nurse PractitionerVA
Clinical Social WorkerVA
P S Y C H I A T R YVA
P S Y C H I A T R YVA
Nurse PractitionerVA
P S Y C H I A T R YVA
Nurse PractitionerVA
P S Y C H I A T R YMO
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What unique ID ties claims to WALID I. FAWAZ (M.D.)?
NPI 1477714111 is assigned to WALID I. FAWAZ (M.D.) under the national enumeration system.
Is WALID I. FAWAZ (M.D.) active in the national directory?
WALID I. FAWAZ (M.D.)'s public NPI profile is in an active state.
Does WALID I. FAWAZ (M.D.) list a primary specialty?
If you are matching referrals, note Child & Adolescent Psychiatry Physician for WALID I. FAWAZ (M.D.). Clinical services aligned with this taxonomy classification.
Where is WALID I. FAWAZ (M.D.)'s primary listing?
We display Petersburg, Virginia because that is what the record indicates for WALID I. FAWAZ (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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