Andrea M. Fasullo, MD
NPI 1588689491ActiveIndividual· Pediatrics· Federal Way, WA
Pediatrics (MD) in Federal Way, Washington, licensed in WA, with an NPI issued in July 2006.
Overview
| NPI | 1588689491 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 12, 2006 |
| Last updated in NPPES | Apr 10, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | MD00036355 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pediatrics providers in Federal Way
- 1104256445
- 1588099162
- 1407409741
- 1699233080
- 1174619274
- 1750550638
- 1649375114
- 1407139496
- 1427401082
- 1447561444
- 1043452204
- 1376562751