Individual provider Active NPI

Atif M George, MD

  • Internal Medicine Physician
  • Pleasant Ridge, MI
National Provider Identifier
1124018627
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301043083 Issued in MI
Practice address
23760 Woodward Ave
Pleasant Ridge, MI 48069-1130
Phone
(248) 543-2800
Fax
(248) 543-2814
NPI assigned
Oct 26, 2005
Last updated
Dec 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301043083 MI Primary

Addresses

Primary practice location

23760 Woodward Ave
Pleasant Ridge, MI 48069-1130

Mailing address

23760 Woodward Ave
Pleasant Ridge, MI 48069-1130
Phone (248) 543-2800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091102000575 MI Practitioner - Internal Medicine 6608913165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23760 Woodward Ave
Pleasant Ridge, MI 48069-1130
Phone (248) 543-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301043083MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atif M. George, M.D., P.C. Internal Medicine CurrentSince Sep 5, 1980 Accepting new patients
Michigan Surgery Specialists, P.C. PastSince Oct 13, 2010 Accepting new patients

Locations

23760 Woodward Ave
Pleasant Ridge, MI 48069
Phone (248) 543-2800

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1124018627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23760 WOODWARD AVE",
            "city": "PLEASANT RIDGE",
            "state": "MI",
            "postal_code": "480691130",
            "telephone_number": "248-543-2800",
            "fax_number": "248-543-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23760 WOODWARD AVE",
            "city": "PLEASANT RIDGE",
            "state": "MI",
            "postal_code": "480691130",
            "telephone_number": "248-543-2800",
            "fax_number": "248-543-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ATIF",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301043083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Ridge, MI

Sources for this page

Verify at the official NPI Registry.