Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Burt I Faibisoff, MD

Individual provider Surgery of the Hand (Plastic Surgery) Physician · NPI 1730128695

Burt I Faibisoff, MD is a Plastic and Reconstructive Surgery in Prescott, Arizona. Graduated from University of Rochester School of Medicine and Dentistry in 1975, 51 years ago. Practices with Prescott Medical and Dermatology Group, a 3-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
51
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

810 Ainsworth Dr
Prescott, AZ 86301-1612
Phone: (928) 515-1155
Fax: (928) 460-5158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 203 S Candy Ln # 14, Cottonwood, AZ 86326-4120 — (928) 639-3387
  • 2501 N Stockton Hill Rd Ste 108, Kingman, AZ 86401-4140 — (928) 759-5800
  • 2035 Mesquite Ave, Lake Havasu City, AZ 86403 — (928) 680-7707
  • 820 Ainsworth Dr Ste B, Prescott, AZ 86301-1613 — (928) 777-5810
  • 2820 N Glassford Hill Rd Ste 107, Prescott Valley, AZ 86314-2256 — (928) 772-8553
  • 2820 N Glassford Hill Rd Ste 103, Prescott Valley, AZ 86314-2256 — (928) 772-8553

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 13213 (AZ)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 13213 (AZ)

Record details

NPI number1730128695
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 6, 2006
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address1354 Autumn Walk, Prescott, AZ 86305-2112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 1975 (51 years in practice)
Group practice Prescott Medical And Dermatology Group — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount