Individual provider Active NPI

George Koomos

  • Anesthesiology Physician
  • Corpus Christi, TX
National Provider Identifier
1114998291
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E2260 Issued in TX
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

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
124886602MedicaidTX

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

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Management, PA Specialist PastSince Mar 20, 2022 Accepting new patients
Titan Anesthesia Associates LLC Anesthesiology PastSince May 3, 2009 Accepting new patients
Regional Anesthesia Associates P a Anesthesiology PastSince Jan 1, 1975 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.

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.

Verify at the official NPI Registry.