George Michael Nicoloff, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

GN063890 Issued in MI

Practice address

15510 Farmington Rd
Livonia, MI 48154-2852

Phone

(248) 344-7400

Fax

(248) 344-7401

NPI assigned

Mar 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

University of Michigan Medical School, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• George M Nicoloff MD PC

  • Primary Care Clinic/Center
  • Livonia, MI
  • NPI 1871890251
  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Mercy Livingston Hospital

  • General Acute Care Hospital
  • Brighton, MI
  • NPI 1093748642
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1083674626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15510 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542852",
            "telephone_number": "248-344-7400",
            "fax_number": "248-344-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15510 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542852",
            "telephone_number": "248-344-7400",
            "fax_number": "248-344-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLOFF",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "GN063890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4233790",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Nicholas
• Andrea Nichols
• Carly Nichols
• Kandace Nickelberry
• Nicole Tacoma, PSYD, PC
• Reilly Mackenna Niesz, MA, TLLP
• Adrienne Nightingale
• Joseph B Niman
• Sanford Jay Nitzkin, DDS
• Brian Nixon

• Family Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.