Active NPI
George Koomos
- Anesthesiology Physician
- Corpus Christi, TX
National Provider Identifier
1114998291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- E2260
- Practice address
- 4444 Corona Dr
Suite 215
Corpus Christi, TX 78411-4324 - Phone
- (361) 985-1221
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E2260 | TX | |
| Anesthesiology Physician | 207L00000X | E2260 | TX | Primary |
Addresses
Primary practice location
4444 Corona Dr
Suite 215
Corpus Christi, TX 78411-4324
Mailing address
4444 Corona Dr
Suite 215
Corpus Christi, TX 78411-4324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124886602 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Pain Management, PA | Specialist | Past | Accepting new patients |
| Titan Anesthesia Associates LLC | Anesthesiology | Past | Accepting new patients |
| Regional Anesthesia Associates P a | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Corpus Christi, TX
- NPI 1659337186
-
- Specialist
- Corpus Christi, TX
- NPI 1639103674
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1619143393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1114998291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 CORONA DR",
"address_2": "SUITE 215",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 CORONA DR",
"address_2": "SUITE 215",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114324",
"telephone_number": "361-985-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOMOS",
"first_name": "GEORGE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "E2260",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "E2260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124886602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.