DR. RUSSELL WILLIAM FARIA (D.O.) – Family Medicine Physician, NPI 1114901113

DR. RUSSELL WILLIAM FARIA (D.O.) is a healthcare provider. based in Auburn, Washington. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OP00001307 (WA). The NPI Number for DR. RUSSELL WILLIAM FARIA (D.O.) is 1114901113

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSELL WILLIAM FARIA (D.O.)
NPI
1114901113
Phone
(253) 735-0260
Address
721 M ST NE STE 100
Enumeration Date
2 December 2005
Last Update Date
9 November 2013

Doctor Profile

Medical School Name
COLLEGE OF OSTEOPATHIC PHYSICIANS AND SURGEONS OF LOS ANGELES
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
0042301798
Professional Enrollment ID
I20070809000289
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. RUSSELL WILLIAM FARIA (D.O.)

  • M Street Northeast, Rivers Bend, Auburn, King County, Washington, 98002, United States

    AUBURN, WA 980024503

    Phone: (253) 735-0260

    Fax: (253) 735-0245

    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: 2007-08-09

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
I20070809000289IFamily PracticeWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98002)

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Reviews

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Frequently asked questions

How is DR. RUSSELL WILLIAM FARIA (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. RUSSELL WILLIAM FARIA (D.O.) with NPI 1114901113.
Can I rely on DR. RUSSELL WILLIAM FARIA (D.O.) being an active provider?
As of the registry snapshot, DR. RUSSELL WILLIAM FARIA (D.O.) is marked active.
What is DR. RUSSELL WILLIAM FARIA (D.O.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. RUSSELL WILLIAM FARIA (D.O.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. RUSSELL WILLIAM FARIA (D.O.) on a map?
Expect Auburn, Washington as a primary anchor for DR. RUSSELL WILLIAM FARIA (D.O.) unless the record lists multiple sites.
Is the information about DR. RUSSELL WILLIAM FARIA (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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