Individual provider Active NPI

Wales Thottathikunnath George, M.D

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1093020505
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
V9904 Issued in TX
Practice address
2800 S Macgregor Way
Houston, TX 77021-1032
Phone
(713) 741-3830
NPI assigned
Aug 10, 2010
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD461098 PA
Psychiatry Physician 2084P0800X V9904 TX Primary
Psychiatry Physician 2084P0800X 201400956 NC
Psychiatry Physician 2084P0800X 0101256576 VA

Addresses

Primary practice location

2800 S Macgregor Way
Houston, TX 77021-1032

Mailing address

2800 S Macgregor Way
Houston, TX 77021-1032
Phone (713) 741-3830

Other names 1

  • Wales Thottathikunnath George Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170920001806 PA Practitioner - Psychiatry 6800018300 Reassigns benefits to 2 organizations
I20250918000660 TX Practitioner - Psychiatry 6800018300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6410 Fannin St
Suite 135
Houston, TX 77030-3003

6414 Fannin St
Suite G125
Houston, TX 77030-1517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201400956NCMDPsychiatry Physician
MD461098PAMDPsychiatry Physician
0101256576VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Psychiatry CurrentSince Aug 25, 2025 Accepting new patients
Merakey Parkside Recovery CurrentSince Jul 17, 2017 Accepting new patients
Ut Physicians CurrentSince Aug 25, 2025 Accepting new patients
Merakey Delaware County CurrentSince Jul 17, 2017 Accepting new patients
Merakey Parkside Recovery CurrentSince Jul 17, 2017 Accepting new patients
Merakey Delaware County CurrentSince Jul 17, 2017 Accepting new patients
Merakey Parkside Recovery Current Accepting new patients

Locations

906 Bethlehem Pike
Glenside, PA 19038
Phone (215) 836-2127

620 Germantown Pike
Lafayette Hl, PA 19444
Phone (313) 278-2327

11082 Knights Rd
Philadelphia, PA 19154
Phone (215) 632-9040

5000 Parkside Ave
Philadelphia, PA 19131
Phone (215) 879-6116

800 Chester Pike
Sharon Hill, PA 19079
Phone (610) 534-3636

2800 S Macgregor Way
Houston, TX 77021
Phone (713) 741-5000

6410 Fannin St
#135
Houston, TX 77030

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1093020505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S MACGREGOR WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211032",
            "telephone_number": "713-741-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S MACGREGOR WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211032",
            "telephone_number": "713-741-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "WALES",
        "middle_name": "THOTTATHIKUNNATH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD461098",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "V9904",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "201400956",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101256576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALES",
            "last_name": "THOTTATHIKUNNATH GEORGE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.