NPIMap

Individual provider Active NPI

George Michel Atallah, D.O.

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1093940694
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
P1162 Issued in TX
Practice address
902 Frostwood Dr Ste 235
Houston, TX 77024-2417
Phone
(713) 298-0120
NPI assigned
May 27, 2009
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 390200000X TX
Pain Medicine Physician 208VP0000X P1162 TX
Interventional Pain Medicine Physician 208VP0014X P1162 TX Primary

Addresses

Primary practice location

902 Frostwood Dr Ste 235
Houston, TX 77024-2417

Mailing address

902 Frostwood Dr Ste 235
Houston, TX 77024-2417
Phone (713) 298-0120

Other names 1

  • Dr. George Michel Atallah Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120821000421 TX Practitioner - AnesthesiologyPractitioner - Pain Management 6608023080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Modern Pain Management, PLLCGroup PAC ID 7719288893, 3 clinicians

Practice addresses (Care Compare)

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

902 Frostwood Dr
Suite 235
Houston, TX 77024-2417
Phone (713) 298-0120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1162TXMDPain Medicine Physician
390200000XTXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Pain Management PLLC Pain Medicine CurrentSince Jul 20, 2015 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2012 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2012 Accepting new patients
Modern Acute Pain & Anesthesia Services PLLC Anesthesiology CurrentSince Oct 8, 2018 Accepting new patients
Modern Pain Management PLLC Pain Medicine CurrentSince Jul 20, 2015 Accepting new patients
Baylor College of Medicine Anesthesiology Past Accepting new patients
Houston Preferred Anesthesia PLLC Anesthesiology PastSince Apr 25, 2017 Accepting new patients
Rezik a Saqer MD PA PastSince Feb 1, 2015 Accepting new patients

Locations

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

902 Frostwood Dr
Ste 235
Houston, TX 77024
Phone (713) 298-0120

12930 Dairy Ashford Rd
Ste 501
Sugar Land, TX 77478
Phone (713) 298-0120

Organizations & group practices 9

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1093940694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 235",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242417",
            "telephone_number": "713-298-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 235",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242417",
            "telephone_number": "713-298-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATALLAH",
        "first_name": "GEORGE",
        "middle_name": "MICHEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "P1162",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "P1162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "ATALLAH",
            "middle_name": "MICHEL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.